Prather, Nealan Dewayne

Prather, Nealan Dewayne is an individual health care provider with primary practice located at 2400 Hospital Dr Suite 420, Bossier City LA 71111-2385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Prather, Nealan Dewayne can be contacted via phone (318) 212-7910.

Contact Information

Primary practice address
2400 Hospital Dr Suite 420 Bossier City LA 71111-2385
Phone: (318) 212-7910
Fax: (318) 212-7915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 013322 Louisiana

Profile Details

NPI number 1053340349
LBN Legal business name Prather, Nealan Dewayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Jan 3rd, 2008 - about 16 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 1053340349 NPPES
Louisiana MEDICAID 11963666

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