Alfred W. Hathorn Jr., M.D. Apmc
LBN: Alfred W. Hathorn Jr., M.D. Apmc
Alfred W. Hathorn Jr., M.D. Apmc is an health care organization with primary practice located at 2120 Bert Koun Loop Suite # L, Shreveport LA 71118-3351. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Alfred W. Hathorn Jr., M.D. Apmc can be contacted via phone (318) 686-8197, or through Hathorn, Ruth A via phone (318) 686-8197.
Contact Information
Primary practice address
2120 Bert Koun Loop Suite # L
Shreveport LA 71118-3351
Phone: (318) 686-8197
Fax: (318) 688-5962
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 011400 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP06110 | Louisiana |
Profile Details
| NPI number | 1487066296 |
|---|---|
| LBN Legal business name | Alfred W. Hathorn Jr., M.D. Apmc |
| DBA Doing business as | |
| Authorized official | Hathorn, Ruth A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 28th, 2014 |
| Last updated | May 28th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487066296 | NPPES |
| Louisiana | MEDICAID | 1135127 | |
| Louisiana | MEDICAID | 2315889 |
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