Addison, Innis

Addison, Innis is an individual health care provider with primary practice located at 200 N Thomas Dr Suite 100, Shreveport LA 71107-6503. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Addison, Innis can be contacted via phone (318) 424-8345.

Contact Information

Primary practice address
200 N Thomas Dr Suite 100 Shreveport LA 71107-6503
Phone: (318) 424-8345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1477093060
LBN Legal business name Addison, Innis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2017
Last updated Jun 12th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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