Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | L013006 | LA |
NPI | 1215009741 |
---|---|
Provider Name | Dr. Alan E Sheen |
First Address | Metairie, LA 70006-4103 |
Second Address | Metairie, LA 70006-4103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1300713 | (05) | LA |
78712 | COVENTRY PROV # (01) | LA |
B65148 | (02) | LA |