Palmer, Thomas Evan

Palmer, Thomas Evan is an individual health care provider with primary practice located at 255 Bert Kouns Loop , Shreveport LA 71106-8150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Palmer, Thomas Evan can be contacted via phone (318) 683-0411.

Contact Information

Primary practice address
255 Bert Kouns Loop Shreveport LA 71106-8150
Phone: (318) 683-0411
Fax: (318) 603-5461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 015072 Louisiana

Profile Details

NPI number 1811992373
LBN Legal business name Palmer, Thomas Evan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Mar 24th, 2010 - about 14 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 1811992373 NPPES
Louisiana Other 340012729 RAILROAD MEDICARE
Louisiana MEDICAID 1345709 RAILROAD MEDICARE

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