Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 21127 | MS |
Y | 207X00000X | Orthopaedic Surgeon | MD.205884 | LA |
NPI | 1033166962 |
---|---|
Provider Name | Jeffrey F Traina |
First Address | Leesville, LA 71446 |
Second Address | Leesville, LA 71446 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 17/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036073185 | (05) | IL |
200041571 | RR MEDICARE (01) | IL |
206723 | HEALTHLINK (01) | IL |
4281670001 | DME (01) | IL |
5685852 | (05) | MS |
7232254 | BCBS (01) | IL |
C43521 | (02) | IL |
C43521 | UPIN (01) | MS |