Bridges, Juanita Felton

Bridges, Juanita Felton is an sole proprietor health care provider with primary practice located at 510 East Stoner Avenue, #120 Overton Brooks Va Medical Center, Shreveport LA 71101. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Bridges, Juanita Felton can be contacted via phone (318) 990-5189.

Contact Information

Primary practice address
510 East Stoner Avenue, #120 Overton Brooks Va Medical Center Shreveport LA 71101
Phone: (318) 990-5189
Fax: (318) 990-5724
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X

Profile Details

NPI number 1841269743
LBN Legal business name Bridges, Juanita Felton
Credentials M.S.,L.D.N.,R.D.,CDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2006
Last updated Feb 26th, 2013 - about 11 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 1841269743 NPPES
Louisiana Other 16541 CDR NUMBER
Louisiana Other 1095 CDR NUMBER

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