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:
Health care specialties
| Specialty | Code | License # | 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 13 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 | 1801976212 | NPPES |
| Louisiana | MEDICAID | 2110080 | |
| Louisiana | Other | 4P025F600 |
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