INTERVENTIONAL SPINE AND REHABILITATION OF LOUISIANA
NPI 1376054726
Non-Pharmacy Dispensing Site in Baton Rouge, LA

Active since October 12, 2017
4021 W E HECK CT., BUILDING M-1, BATON ROUGE, LA 70816(479) 636-9702(877) 427-2307 Get Directions Write a Review

NPPES record last updated: November 15, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 15, 2017, Oct 12, 2017 (2 updates tracked since 2017).

About Interventional Spine And Rehabilitation Of Louisiana NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERVENTIONAL SPINE AND REHABILITATION OF LOUISIANA (NPI 1376054726) is a healthcare organization registered as a non-pharmacy dispensing site in Baton Rouge, Louisiana and active in the NPI registry since October 2017. The organization lists Mackenzie Hahn, Ncpdp Coordinator, as its authorized official.

NPPES Registry Identity

NPI1376054726
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameM V JOHN M D LLC
Location Address4021 W E HECK CT., BUILDING M-1Baton Rouge, LA 70816
Mailing AddressPo Box 3328Bentonville, AR 72712 · (479) 636-9702 · Fax (877) 427-2307
Fax(877) 427-2307
Organization SubpartNo
Authorized OfficialMackenzie HahnNcpdp Coordinator · (479) 636-9702
Enumeration DateOctober 12, 2017
Last NPPES UpdateNovember 15, 20172 updates tracked since enumeration
NPI 1376054726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in LA · MD202152
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

4021 W E HECK CT., Baton Rouge, LA 70816

Other Names 1

Doing Business AsInterventional Spine And Rehabilitation Of Louisiana

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376054726, enumerated as an "organization" on October 12, 2017.

The provider is located at 4021 W E HECK CT. BUILDING M-1 BATON ROUGE, LA 70816 and the phone number is (479) 636-9702.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.