Colvin, David Juston

Colvin, David Juston is an individual health care provider with primary practice located at 8383 Millicent Way , Shreveport LA 71115-5207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Colvin, David Juston can be contacted via phone (318) 797-6661.

Contact Information

Primary practice address
8383 Millicent Way Shreveport LA 71115-5207
Phone: (318) 797-6661
Fax: (318) 795-8512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036167418 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L022840 Louisiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD-50271 Iowa

Profile Details

NPI number 1023010592
LBN Legal business name Colvin, David Juston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Nov 16th, 2023 - about last year

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 1023010592 NPPES
Other 080189709 RR MCR
MEDICAID 1494101 RR MCR

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