Provider Demographics
NPI:1184722357
Name:WESTBANK INDUSTRIAL MEDICINE CLINIC, LLC
Entity type:Organization
Organization Name:WESTBANK INDUSTRIAL MEDICINE CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:504-433-5070
Mailing Address - Street 1:200 LAPALCO BLVD
Mailing Address - Street 2:STE. 1-B
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-7113
Mailing Address - Country:US
Mailing Address - Phone:504-433-5070
Mailing Address - Fax:504-433-5077
Practice Address - Street 1:200 LAPALCO BLVD
Practice Address - Street 2:STE. 1-B
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-7113
Practice Address - Country:US
Practice Address - Phone:504-433-5070
Practice Address - Fax:504-433-5077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine