Mcconnell, Natalie
Mcconnell, Natalie is an individual health care provider with primary practice located at 2120 Bert Koun Loop Ste A , Shreveport LA 71118-3351. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mcconnell, Natalie can be contacted via phone (318) 688-3350.Contact Information
Primary practice address
2120 Bert Koun Loop Ste A
Shreveport LA 71118-3351
Phone: (318) 688-3350
Fax: (318) 300-4439
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 025768 | Louisiana |
Profile Details
NPI number | 1417941543 |
---|---|
LBN Legal business name | Mcconnell, Natalie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 2nd, 2005 |
Last updated | Jun 17th, 2019 - about 5 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 | 1417941543 | NPPES |
Louisiana | MEDICAID | 1578568 | |
Louisiana | Other | 12-01024 | |
Louisiana | Other | 7405350 |
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