Amigo, Anthony M

Amigo, Anthony M is an sole proprietor health care provider with primary practice located at 338 Moreau St , Marksville LA 71351-2956. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Amigo, Anthony M can be contacted via phone (318) 253-5647.

Contact Information

Primary practice address
338 Moreau St Marksville LA 71351-2956
Fax: (318) 253-5876
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11268R Louisiana

Profile Details

NPI number 1972598944
LBN Legal business name Amigo, Anthony M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2005
Last updated Mar 17th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972598944 NPPES
Louisiana MEDICAID 1664839

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