Provider Demographics
NPI:1841479680
Name:DAVID B HUTCHINSON, INC
Entity type:Organization
Organization Name:DAVID B HUTCHINSON, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/CARDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BLAINE
Authorized Official - Last Name:HUTCHINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-349-6131
Mailing Address - Street 1:1111 MEDICAL CENTER BLVD
Mailing Address - Street 2:N311
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-3151
Mailing Address - Country:US
Mailing Address - Phone:504-349-6131
Mailing Address - Fax:504-319-6133
Practice Address - Street 1:1111 MEDICAL CENTER BLVD
Practice Address - Street 2:N311
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-3151
Practice Address - Country:US
Practice Address - Phone:504-349-6131
Practice Address - Fax:504-319-6133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1995771Medicaid
LA1995771Medicaid