Daigle, Gaylon

Daigle, Gaylon is an individual health care provider with primary practice located at 2508 Bert Kouns Loop Suite 207, Shreveport LA 71118-3133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Daigle, Gaylon can be contacted via phone (318) 212-5343.

Contact Information

Primary practice address
2508 Bert Kouns Loop Suite 207 Shreveport LA 71118-3133
Fax: (318) 212-5343
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 011602 Louisiana

Profile Details

NPI number 1083683627
LBN Legal business name Daigle, Gaylon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Dec 13th, 2007 - about 17 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 1083683627 NPPES
Louisiana MEDICAID 1329258

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