Boston, Dakota

Boston, Dakota is an sole proprietor health care provider with primary practice located at 1811 E Bert Kouns Industrial Loop Ste 480 , Shreveport LA 71105-5765. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Boston, Dakota can be contacted via phone (318) 212-2810.

Contact Information

Primary practice address
1811 E Bert Kouns Industrial Loop Ste 480 Shreveport LA 71105-5765
Phone: (318) 212-2810
Fax: (318) 212-2818
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD.307727 Louisiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.307727 Louisiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1962899971
LBN Legal business name Boston, Dakota
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2015
Last updated Jul 12th, 2022 - about 3 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 1962899971 NPPES
Louisiana MEDICAID 2387928

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