Provider Demographics
NPI:1205968054
Name:CHRISTINE ALBRECHT MD APMC
Entity type:Organization
Organization Name:CHRISTINE ALBRECHT MD APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:DE ALENCAR
Authorized Official - Last Name:ALBRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-873-0112
Mailing Address - Street 1:855 BELANGER ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-4463
Mailing Address - Country:US
Mailing Address - Phone:985-873-0112
Mailing Address - Fax:985-857-8624
Practice Address - Street 1:855 BELANGER ST
Practice Address - Street 2:SUITE 209
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-4463
Practice Address - Country:US
Practice Address - Phone:985-873-0112
Practice Address - Fax:985-857-8624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1109983Medicaid
LA1680001Medicare ID - Type UnspecifiedALBRECHT
LA1109983Medicaid
LA5W753Medicare ID - Type UnspecifiedALBRECHT
LAG24683Medicare UPIN
LA4B996Medicare ID - Type UnspecifiedGROS