Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 2573 | LA |
NPI | 1003038498 |
---|---|
Provider Name | Dr. John Barry Babin |
First Address | Baker, LA 70714-4902 |
Second Address | Baker, LA 70714-4902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 08/07/2007 |