Dockendorf, Brian L

Dockendorf, Brian L is an individual health care provider with primary practice located at 1455 E Bert Kouns Loop , Shreveport LA 71105-5634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dockendorf, Brian L can be contacted via phone (318) 798-4600.

Contact Information

Primary practice address
1455 E Bert Kouns Loop Shreveport LA 71105-5634
Phone: (318) 798-4600
Fax: (318) 798-4412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 09794R Louisiana

Profile Details

NPI number 1598769432
LBN Legal business name Dockendorf, Brian L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Dec 11th, 2020 - about 5 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 1598769432 NPPES
Louisiana Other 1053315846 GROUP MEDICARE NUMBER
Louisiana Other 020025718 GROUP MEDICARE NUMBER
Louisiana Other 135485409 GROUP MEDICARE NUMBER
Louisiana MEDICAID 1966053 GROUP MEDICARE NUMBER

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