Mcclintock, Laura L
Mcclintock, Laura L is an sole proprietor health care provider with primary practice located at 710 Slattery Blvd , Shreveport LA 71104-4922. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Mcclintock, Laura L can be contacted via phone (817) 731-6121.Contact Information
Primary practice address
710 Slattery Blvd
Shreveport LA 71104-4922
Phone: (817) 731-6121
Fax: (817) 732-8015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 020259 | Louisiana |
Profile Details
| NPI number | 1932174414 |
|---|---|
| LBN Legal business name | Mcclintock, Laura L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Oct 29th, 2007 - about 18 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 | 1932174414 | NPPES |
| Louisiana | MEDICAID | 1143227 | |
| Louisiana | Other | P00148407 | |
| Louisiana | Other | 020259 |
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