Gates, Philip Edwin

Gates, Philip Edwin is an individual health care provider with primary practice located at 3100 Samford Ave , Shreveport LA 71103-4239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gates, Philip Edwin can be contacted via phone (318) 226-3306.

Contact Information

Primary practice address
3100 Samford Ave Shreveport LA 71103-4239
Phone: (318) 226-3306
Fax: (318) 226-3319
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 10329R Louisiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X E8504 Texas

Profile Details

NPI number 1700856101
LBN Legal business name Gates, Philip Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Nov 13th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700856101 NPPES
Louisiana MEDICAID 1698857

Popular Providers