Marymont, John V.

Marymont, John V. is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Orthopedics, Shreveport LA 71103-4228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Marymont, John V. can be contacted via phone (318) 675-5000.

Contact Information

Primary practice address
1501 Kings Hwy Department Of Orthopedics Shreveport LA 71103-4228
Phone: (318) 675-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 203714 Louisiana

Profile Details

NPI number 1801976212
LBN Legal business name Marymont, John V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 26th, 2012 - about 12 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 1801976212 NPPES
Louisiana MEDICAID 2110080
Louisiana Other 4P025F600

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