Provider Demographics
NPI:1861680969
Name:ALAN N YAGER MDAPMC
Entity Type:Organization
Organization Name:ALAN N YAGER MDAPMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:NEIL
Authorized Official - Last Name:YAGER
Authorized Official - Suffix:
Authorized Official - Credentials:M D APMC
Authorized Official - Phone:504-888-8310
Mailing Address - Street 1:4224 HOUMA BLVD STE 550
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2937
Mailing Address - Country:US
Mailing Address - Phone:504-888-8310
Mailing Address - Fax:504-889-1449
Practice Address - Street 1:4224 HOUMA BLVD STE 550
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2937
Practice Address - Country:US
Practice Address - Phone:504-888-8310
Practice Address - Fax:504-889-1449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA019172207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAE40664Medicare UPIN