Labonte, Roger S.

Labonte, Roger S. is an individual health care provider with primary practice located at 1314 19Th Ave , Meridian MS 39301-4116. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Labonte, Roger S. can be contacted via phone (601) 703-4078.

Contact Information

Primary practice address
1314 19Th Ave Meridian MS 39301-4116
Fax: (601) 703-4065
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 12417 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 12417 Mississippi
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 12417 Mississippi

Profile Details

NPI number 1669454690
LBN Legal business name Labonte, Roger S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jun 1st, 2010 - about 14 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 1669454690 NPPES
Other 110167965 RAILROAD MEDICARE
Other 731-02315 RAILROAD MEDICARE
MEDICAID 00119505 RAILROAD MEDICARE
MEDICAID 009905660 RAILROAD MEDICARE

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