Dr. Emmanuel Witherspoon
Emergency Physician
301 W Boundary Ave
Winnfield
, Louisiana 71483-3427
Dr. Emmanuel Witherspoon
Emergency Physician
301 W Boundary Ave
Winnfield
, Louisiana 71483-3427
(800) 893-9698
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Emmanuel Witherspoon
- 200 Corporate Blvd Suite 201
- Lafayette, LA
- Zip : 70508-3870
- Phone : (800) 893-9698
Second Address
- Dr. Emmanuel Witherspoon
- 301 W Boundary Ave
- Winnfield, LA
- Zip : 71483-3427
- Phone : (318) 442-2859
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 07878R | LA |
National Provider Identifier
| NPI | 1003860180 |
|---|---|
| Provider Name | Dr. Emmanuel Witherspoon |
| First Address | Lafayette, LA 70508-3870 |
| Second Address | Winnfield, LA 71483-3427 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/05/2006 |
| Last Update Date | 05/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1923231 | (05) | LA |
| F14654 | (02) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.