Patton, Stephen Ross

Patton, Stephen Ross is an individual health care provider with primary practice located at 2501 Greenwood Rd , Shreveport LA 71103-3905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Patton, Stephen Ross can be contacted via phone (318) 631-1584.

Contact Information

Primary practice address
2501 Greenwood Rd Shreveport LA 71103-3905
Phone: (318) 631-1584
Fax: (318) 635-8322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 11546R Louisiana

Profile Details

NPI number 1093700692
LBN Legal business name Patton, Stephen Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 1st, 2010 - about 15 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 1093700692 NPPES
Louisiana MEDICAID 1661686
Louisiana Other 390005506
Louisiana Other A003
Louisiana Other 3100019
Louisiana Other 721404303PA1
Louisiana Other 057675301

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