Mixon, Stephen G

Mixon, Stephen G is an individual health care provider with primary practice located at 1970 N Hwy 190 , Covington LA 70433-5158. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Mixon, Stephen G can be contacted via phone (985) 400-5988.

Contact Information

Primary practice address
1970 N Hwy 190 Covington LA 70433-5158
Phone: (985) 400-5988
Fax: (985) 867-3644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN073581 AP03978 Louisiana

Profile Details

NPI number 1386610608
LBN Legal business name Mixon, Stephen G
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Mar 31st, 2021 - about 3 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 1386610608 NPPES
Louisiana MEDICAID 1471712

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