Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | MD.022226 | LA |
N | 208D00000X | General Practice Physician | LA022226 | LA |
NPI | 1831314905 |
---|---|
Provider Name | Dr. James Alfred Chiverton |
First Address | Metairie, LA 70001-1031 |
Second Address | Metairie, LA 70001-1031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2007 |
Last Update Date | 02/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1496367 | (05) | LA |
G54100 | (02) | LA |