Iceton, John A.
Iceton, John A. is an sole proprietor health care provider with primary practice located at 2927 Park Plaza Ln , Port Arthur TX 77642-5516. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Iceton, John A. can be contacted via phone (409) 983-5178.Contact Information
Primary practice address
2927 Park Plaza Ln
Port Arthur TX 77642-5516
Phone: (409) 983-5178
Fax: (409) 983-6078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | H6857 | Texas |
Profile Details
| NPI number | 1770583858 |
|---|---|
| LBN Legal business name | Iceton, John A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1770583858 | NPPES |
| Texas | Other | H6857 | MEDICAL LICENSE |
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