Ensminger, Bobby Taylor
Ensminger, Bobby Taylor is an sole proprietor health care provider with primary practice located at 1200 Celebrity Dr Ste 1 , Ruston LA 71270-3894. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ensminger, Bobby Taylor can be contacted via phone (318) 232-1590.Contact Information
Primary practice address
1200 Celebrity Dr Ste 1
Ruston LA 71270-3894
Phone: (318) 232-1590
Fax: (318) 232-1221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L15027R | Louisiana |
Profile Details
| NPI number | 1508813742 |
|---|---|
| LBN Legal business name | Ensminger, Bobby Taylor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2006 |
| Last updated | Sep 9th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508813742 | NPPES |
| Louisiana | MEDICAID | 1163384 |
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