Gladney, John Davidson

Gladney, John Davidson is an individual health care provider with primary practice located at 8001 Youree Drive Suite 840, Shreveport LA 71115-2302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gladney, John Davidson can be contacted via phone (318) 795-9100.

Contact Information

Primary practice address
8001 Youree Drive Suite 840 Shreveport LA 71115-2302
Phone: (318) 795-9100
Fax: (318) 222-8889
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X L015042 Louisiana

Profile Details

NPI number 1821054214
LBN Legal business name Gladney, John Davidson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jan 11th, 2011 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821054214 NPPES
Louisiana MEDICAID 1362395

Popular Providers