Kirchner, Frederick Randall
Kirchner, Frederick Randall is an individual health care provider with primary practice located at 471 Ashley Ridge Blvd. , Shreveport LA 71106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kirchner, Frederick Randall can be contacted via phone (318) 795-4770.Contact Information
Primary practice address
471 Ashley Ridge Blvd.
Shreveport LA 71106
Phone: (318) 795-4770
Fax: (318) 795-4775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 010890 | Louisiana |
Profile Details
| NPI number | 1245259571 |
|---|---|
| LBN Legal business name | Kirchner, Frederick Randall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jan 12th, 2009 - about 16 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 | 1245259571 | NPPES |
| Texas | Other | 075555501 | TEXAS MEDICAID NUMBER |
| Texas | Other | 1053315846 | TEXAS MEDICAID NUMBER |
| Texas | MEDICAID | 1148300 | TEXAS MEDICAID NUMBER |
| Texas | Other | 610748600 | TEXAS MEDICAID NUMBER |
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