| Minden Family Medicine Llc | |
|
3 Medical Plaza Pl Minden LA 71055-3330 | |
| (318) 377-7134 | |
| (318) 377-7098 |
| Full Name | Minden Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3 Medical Plaza Pl, Minden, Louisiana |
| Authorized Official Name and Position | Christopher M Earnhardt (M.D./OWNER) |
| Authorized Official Contact | 3183777134 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minden Family Medicine Llc 3 Medical Plaza Pl Minden LA 71055-3330 Ph: (318) 377-7134 | Minden Family Medicine Llc 3 Medical Plaza Pl Minden LA 71055-3330 Ph: (318) 377-7134 |
| NPI Number | 1275614836 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 12/20/2007 |
| Medicare PECOS PAC ID | 1254476948 |
|---|---|
| Medicare Enrollment ID | O20100305000396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275614836 | NPI | - | NPPES |
| 1441678 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD024175 (Louisiana) | Primary |
| Provider Name | Christopher Earnhardt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699762948 PECOS PAC ID: 9830271311 Enrollment ID: I20100305000449 |
| Provider Name | Jennifer C Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447409420 PECOS PAC ID: 0143491324 Enrollment ID: I20110920000200 |
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