Havens, Richard Taylor
Havens, Richard Taylor is an individual health care provider with primary practice located at 9308 Mansfield Rd Ste 100 , Shreveport LA 71118-3134. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Havens, Richard Taylor can be contacted via phone (318) 687-6266.Contact Information
Primary practice address
9308 Mansfield Rd Ste 100
Shreveport LA 71118-3134
Phone: (318) 687-6266
Fax: (318) 683-1023
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PDR073R | Louisiana |
Profile Details
NPI number | 1285643908 |
---|---|
LBN Legal business name | Havens, Richard Taylor |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2006 |
Last updated | Aug 4th, 2010 - about 15 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 | 1285643908 | NPPES |
Louisiana | MEDICAID | 1384691 |
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