Cleotha Johnigan Jr.

Individual provider Active NPI Case Manager/Care Coordinator · New Roads, LA

NPI 1972033306 · NPPES record last updated Jun 12, 2018

Key facts

NPI
1972033306
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1919 Hospital Rd
New Roads, LA 70760-3912
Phone
(225) 638-8449
Fax
(225) 638-8446
NPI assigned
Jun 18, 2017
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X LA Yes

Addresses

Primary practice location

1919 Hospital Rd
New Roads, LA 70760-3912

Mailing address

1919 Hospital Road
New Roads, LA 70760-2723
Phone (225) 638-8449

Other providers in New Roads, LA

All providers in New Roads, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

Verify at the official NPI Registry.