Biddle, Johnny Ray

Biddle, Johnny Ray is an sole proprietor health care provider with primary practice located at 3608 Kirkman St , Lake Charles LA 70607-3006. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Biddle, Johnny Ray can be contacted via phone (337) 936-6893.

Contact Information

Primary practice address
3608 Kirkman St Lake Charles LA 70607-3006
Phone: (337) 936-6893
Fax: (337) 564-0931
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 05629R Louisiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 05629R Louisiana
Allopathic & Osteopathic Physicians / General Practice 208D00000X 05629R Louisiana

Profile Details

NPI number 1902010952
LBN Legal business name Biddle, Johnny Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2007
Last updated Nov 10th, 2015 - about 10 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 1902010952 NPPES
Louisiana MEDICAID 1347795

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