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Brett J. Chiasson

Non-Pharmacy Dispensing Site in Hammond, LA. Organization (NPI-2).

NPI number1982115333
StatusActive
Last updated in NPPESOct 12, 2017

Details

NPI
1982115333
Entity type
Organization (NPI-2)
Legal business name
Brett J. Chiasson
Organization subpart
No
Enumeration date
Oct 12, 2017
Last updated
Oct 12, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332900000X Non-Pharmacy Dispensing SiteMD.021220LAYes

Other names

  • Bone & Joint Clinic Of Hammond (Doing Business As)

Practice location

1000 Jw Davis Dr.
Hammond, LA 70403

Phone 479-636-9702 · Fax 877-427-2307

Mailing address

Po Box 1784
Bentonville, AR 72712

Phone 479-636-9702 · Fax 877-427-2307

Authorized official

Mackenzie Hahn
Ncpdp Coordinator
4796369702

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