Hollis, Deborah Susan
Hollis, Deborah Susan is an individual health care provider with primary practice located at 1455 E Bert Kouns Loop , Shreveport LA 71105-5634. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Hollis, Deborah Susan can be contacted via phone (318) 798-4623.Contact Information
Primary practice address
1455 E Bert Kouns Loop
Shreveport LA 71105-5634
Phone: (318) 798-4623
Fax: (318) 798-4591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA.A10355.RX | Louisiana |
Profile Details
| NPI number | 1871586784 |
|---|---|
| LBN Legal business name | Hollis, Deborah Susan |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Mar 12th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871586784 | NPPES |
| Louisiana | Other | P00090026 | RAILROAD MEDICARE NUMBER |
| Louisiana | MEDICAID | 1625221 | RAILROAD MEDICARE NUMBER |
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