Netterville, John Kevin
Netterville, John Kevin is an sole proprietor health care provider with primary practice located at One St Mary Place , Shreveport LA 71101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Netterville, John Kevin can be contacted via phone (318) 681-4500.Contact Information
Primary practice address
One St Mary Place
Shreveport LA 71101
Phone: (318) 681-4500
Fax: (318) 681-4177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 12640R | Louisiana |
Profile Details
| NPI number | 1225084536 |
|---|---|
| LBN Legal business name | Netterville, John Kevin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1225084536 | NPPES |
| Louisiana | MEDICAID | 1541800 |
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