Individual provider · NPI-1
Joel Alack, MD
Hospitalist · Baton Rouge, LA
NPI number1568968196
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1568968196
- Entity type
- Individual (NPI-1)
- Name
- Joel Alack
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2018
- Certification date
- Sep 3, 2021
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 326956 | LA | Yes |
| 207R00000X | Internal Medicine | 326956 | LA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
5000 Hennessy BlvdBaton Rouge, LA 70808-4375
Phone 225-765-4050 · Fax 225-765-4046
Mailing address
1501 Kings HighwayInternal Medicine
Shreveport, LA 71103
Phone 318-626-0434
Other practice locations
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