Pistorius, Bruce J

Pistorius, Bruce J is an individual health care provider with primary practice located at 1717 E. Bert Kouns , Shreveport LA 71105-5561. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pistorius, Bruce J can be contacted via phone (318) 212-3930.

Contact Information

Primary practice address
1717 E. Bert Kouns Shreveport LA 71105-5561
Fax: (318) 212-3935
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 015073 Louisiana

Profile Details

NPI number 1851399265
LBN Legal business name Pistorius, Bruce J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2005
Last updated Nov 20th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851399265 NPPES
Louisiana MEDICAID 1313688

Popular Providers