Quinlan, Mackey Sugar

Quinlan, Mackey Sugar is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Pediatrics, Shreveport LA 71103-4228. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Quinlan, Mackey Sugar can be contacted via phone (318) 212-3900.

Contact Information

Primary practice address
1501 Kings Hwy Department Of Pediatrics Shreveport LA 71103-4228
Phone: (318) 212-3900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD202876 Louisiana

Profile Details

NPI number 1831300136
LBN Legal business name Quinlan, Mackey Sugar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Oct 25th, 2017 - about 8 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 1831300136 NPPES
Louisiana MEDICAID 00170

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