Noble, John Wallace

Noble, John Wallace is an individual health care provider with primary practice located at 1747 Imperial Blvd , Lake Charles LA 70605-5362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Noble, John Wallace can be contacted via phone (337) 721-7236.

Contact Information

Primary practice address
1747 Imperial Blvd Lake Charles LA 70605-5362
Phone: (337) 721-7236
Fax: (337) 721-7237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 020895 Louisiana

Profile Details

NPI number 1982656450
LBN Legal business name Noble, John Wallace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jan 30th, 2017 - about 7 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 1982656450 NPPES
Louisiana Other 020895 STATE LICENSE NO.
Louisiana MEDICAID 1927961 STATE LICENSE NO.
Louisiana Other 200040861 STATE LICENSE NO.
Louisiana Other K9628 STATE LICENSE NO.
Louisiana Other CI9478 STATE LICENSE NO.
Louisiana Other 5R007D847 STATE LICENSE NO.

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