Jones, Ricky L

Jones, Ricky L is an individual health care provider with primary practice located at 8383 Millicent Way , Shreveport LA 71115-5207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jones, Ricky L can be contacted via phone (318) 797-6661.

Contact Information

Primary practice address
8383 Millicent Way Shreveport LA 71115-5207
Phone: (318) 797-6661
Fax: (318) 795-8512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15056 Louisiana

Profile Details

NPI number 1598760076
LBN Legal business name Jones, Ricky L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jan 8th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598760076 NPPES
Louisiana MEDICAID 1320889
Louisiana Other 2737000007
Louisiana Other 5979585
Louisiana Other 080039491

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