Shane Blacka
Shane Blacka is a Student in an Organized Health Care Education/Training Program in Jefferson, Louisiana. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1514 Jefferson HwyJefferson, LA 70121-2429
Phone: (504) 842-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1437998663 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 20, 2024 |
| Last updated in NPPES | May 20, 2024 |
| Certification date | May 19, 2024 |
| Mailing address | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 |
Other providers in Jefferson
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Erin Michelle Berni
1514 Jefferson Hwy, Jefferson, LA 70121-2429 · (504) 810-6052
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Elliott Berry, MD
1401A Jefferson Hwy, Jefferson, LA 70121-2426 · (504) 842-3260
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Eric Brandon Bigon, DO
1401-A Jefferson Highway Academic Center 1st Fl, Jefferson, LA 70121 · (504) 842-3260
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Jehan Bista, MD
1514 Jefferson Hwy, Jefferson, LA 70121-2429 · (504) 842-3000
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Hannah Lane Bollich, MD
1514 Jefferson Hwy Fl 1, Jefferson, LA 70121-2429 · (504) 703-8844
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Jaya Himaja Bommireddipally, MD
1514 Jefferson Hwy, Jefferson, LA 70121-2429 · (504) 842-3000
-
Stephano Bonitto
1514 Jefferson Hwy, Jefferson, LA 70121-2429 · (504) 842-6829
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Grant Borne
1401A Jefferson Hwy, Jefferson, LA 70121-2426 · (504) 842-3260