Provider Demographics
NPI:1396933131
Name:ALCINA, JOSHUA JAMES (CFA)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:JAMES
Last Name:ALCINA
Suffix:
Gender:M
Credentials:CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2611
Mailing Address - Street 2:
Mailing Address - City:MORGAN CITY
Mailing Address - State:LA
Mailing Address - Zip Code:70381-2611
Mailing Address - Country:US
Mailing Address - Phone:985-518-2207
Mailing Address - Fax:888-329-6432
Practice Address - Street 1:1649 CHESTNUT DR
Practice Address - Street 2:
Practice Address - City:MORGAN CITY
Practice Address - State:LA
Practice Address - Zip Code:70380-1622
Practice Address - Country:US
Practice Address - Phone:985-518-2207
Practice Address - Fax:888-329-6432
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant