Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 022337 | LA |
Y | 111NI0900X | Internist | 022337 | LA |
N | 207RA0401X | Internist - Addiction Medicine | 022337 | LA |
NPI | 1417917782 |
---|---|
Provider Name | Dr. Jay L Piland |
First Address | Alexandria, LA 71301-8421 |
Second Address | Alexandria, LA 71301-8421 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 21/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110168116 | RAILROAD MEDICARE (01) | |
1497576 | (05) | LA |