Byun-Andersen, Marshall J.

Byun-Andersen, Marshall J. is an sole proprietor health care provider with primary practice located at 1541 Kings Highway Family Medicine, Shreveport LA 71130-3932. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Byun-Andersen, Marshall J. can be contacted via phone (318) 626-0014.

Contact Information

Primary practice address
1541 Kings Highway Family Medicine Shreveport LA 71130-3932
Phone: (318) 626-0014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 330641 Louisiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 330641 Louisiana

Profile Details

NPI number 1265994032
LBN Legal business name Byun-Andersen, Marshall J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2019
Last updated Jan 10th, 2023 - about 2 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 1265994032 NPPES
Louisiana MEDICAID 2497995

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