Mancini, Mary Catherine

Mancini, Mary Catherine is an individual health care provider with primary practice located at 1453 E Bert Kouns Industrial Loop Ste 319 , Shreveport LA 71105-6800. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is her primary health care specialty. Mancini, Mary Catherine can be contacted via phone (318) 681-1968.

Contact Information

Primary practice address
1453 E Bert Kouns Industrial Loop Ste 319 Shreveport LA 71105-6800
Phone: (318) 681-1968
Fax: (318) 681-1969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD.08695R Louisiana
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD.08695R Louisiana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 08695R Louisiana

Profile Details

NPI number 1174546790
LBN Legal business name Mancini, Mary Catherine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Nov 16th, 2017 - about 8 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 1174546790 NPPES
Louisiana MEDICAID 1914801

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