Haynie, Laura Sherrod
Haynie, Laura Sherrod is an individual health care provider with primary practice located at 2751 Albert L Bicknell Dr Suite 2-D, Shreveport LA 71103-3920. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Haynie, Laura Sherrod can be contacted via phone (318) 221-2623.Contact Information
Primary practice address
2751 Albert L Bicknell Dr Suite 2-D
Shreveport LA 71103-3920
Phone: (318) 221-2623
Fax: (318) 424-9850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 017142 | Louisiana |
Profile Details
| NPI number | 1679517148 |
|---|---|
| LBN Legal business name | Haynie, Laura Sherrod |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1679517148 | NPPES |
| Louisiana | MEDICAID | 1374318 |
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