Provider Demographics
NPI:1730235417
Name:ADVANCED HAND SPECIALISTS
Entity type:Organization
Organization Name:ADVANCED HAND SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHUCK
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMILLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-674-4170
Mailing Address - Street 1:594 ASBURY DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-4101
Mailing Address - Country:US
Mailing Address - Phone:985-674-4170
Mailing Address - Fax:985-674-4172
Practice Address - Street 1:594 ASBURY DR
Practice Address - Street 2:SUITE A
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-4101
Practice Address - Country:US
Practice Address - Phone:985-674-4170
Practice Address - Fax:985-674-4172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA335E00000X
LAZ10781332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA18412884404OtherHYMEL'S NPI NUMBER
LA1598952640OtherNPI - DAVID MYERS
LA1114944634OtherAHS CLINIC NPI NUMBER
LA1972591006OtherSMITH'S NPI NUMBER
LA1972591006OtherSMITH'S NPI NUMBER
LA5X737Medicare ID - Type UnspecifiedHYMEL'S MEDICARE NUMBER
LA5458200001Medicare NSC
LA1114944634OtherAHS CLINIC NPI NUMBER