Kirk, Louis J
Kirk, Louis J is an sole proprietor health care provider with primary practice located at 705 E Marshall Ave Suite 3000, Longview TX 75601-5573. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Kirk, Louis J can be contacted via phone (903) 663-8756.Contact Information
Primary practice address
705 E Marshall Ave Suite 3000
Longview TX 75601-5573
Phone: (903) 663-8756
Fax: (903) 663-8765
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | E4455 | Texas |
Profile Details
NPI number | 1356318042 |
---|---|
LBN Legal business name | Kirk, Louis J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 2nd, 2006 |
Last updated | Apr 11th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356318042 | NPPES |
Texas | MEDICAID | 135661003 | |
Texas | MEDICAID | 135661005 |
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