Caudill, Phyllis
Caudill, Phyllis is an sole proprietor health care provider with primary practice located at 1860 Fairfield Ave , Shreveport LA 71101-4431. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Caudill, Phyllis can be contacted via phone (318) 642-9450.Contact Information
Primary practice address
1860 Fairfield Ave
Shreveport LA 71101-4431
Phone: (318) 642-9450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 906229 | Mississippi |
Profile Details
| NPI number | 1568239283 |
|---|---|
| LBN Legal business name | Caudill, Phyllis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2023 |
| Last updated | Dec 4th, 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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