Basic Information
Provider Information
NPI: 1447409586
EntityType: 2
ReplacementNPI:  
OrganizationName: RELIEF PLUS, LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4212 W CONGRESS ST
Address2: SUITE 3200
City: LAFAYETTE
State: LA
PostalCode: 705066765
CountryCode: US
TelephoneNumber: 3379885646
FaxNumber: 3379884298
Practice Location
Address1: 4212 W CONGRESS ST
Address2: SUITE 3200
City: LAFAYETTE
State: LA
PostalCode: 705066765
CountryCode: US
TelephoneNumber: 3379885646
FaxNumber: 3379884298
Other Information
ProviderEnumerationDate: 09/13/2008
LastUpdateDate: 09/13/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: FUSELIER
AuthorizedOfficialFirstName: MICHAEL
AuthorizedOfficialMiddleName: M
AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 3379885646
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: ANESTHESIOLOGY & PAIN CONSULTANTS, INC
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MS, CPA, RN, FACHE
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
332B00000X  Y SuppliersDurable Medical Equipment & Medical Supplies 

No ID Information.


Home