Favorite, Louis John

Favorite, Louis John is an individual health care provider with primary practice located at 1005 Midwestern Pkwy , Wichita Falls TX 76302-2211. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Favorite, Louis John can be contacted via phone (940) 322-0771.

Contact Information

Primary practice address
1005 Midwestern Pkwy Wichita Falls TX 76302-2211
Phone: (940) 322-0771
Fax: (940) 766-4943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2088720 Texas

Profile Details

NPI number 1407111347
LBN Legal business name Favorite, Louis John
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2012
Last updated Jul 6th, 2012 - about 13 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 1407111347 NPPES
Texas MEDICAID 111408402

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