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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821054214 | NPPES |
| Louisiana | MEDICAID | 1362395 |
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