Paul, Edward

Paul, Edward is an individual health care provider with primary practice located at 8001 Youree Dr , Shreveport LA 71115-2302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Paul, Edward can be contacted via phone (318) 212-3500.

Contact Information

Primary practice address
8001 Youree Dr Shreveport LA 71115-2302
Fax: (318) 212-3505
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 022332 Louisiana

Profile Details

NPI number 1609868892
LBN Legal business name Paul, Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609868892 NPPES
Louisiana MEDICAID 1677060

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