Aycock, Richard A
Aycock, Richard A is an individual health care provider with primary practice located at 2510 Bert Kouns Indistrial Loop , Shreveport LA 71118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Aycock, Richard A can be contacted via phone (318) 212-5500.Contact Information
Primary practice address
2510 Bert Kouns Indistrial Loop
Shreveport LA 71118
Phone: (318) 212-5500
Fax: (318) 212-5358
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 09978R | Louisiana |
Profile Details
| NPI number | 1902950363 |
|---|---|
| LBN Legal business name | Aycock, Richard A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902950363 | NPPES |
| Louisiana | MEDICAID | 1686573 |
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