Siskron, Fredric Thomas

Siskron, Fredric Thomas is an individual health care provider with primary practice located at 2915 Missouri Ave , Shreveport LA 71109-4327. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Siskron, Fredric Thomas can be contacted via phone (318) 364-2000.

Contact Information

Primary practice address
2915 Missouri Ave Shreveport LA 71109-4327
Phone: (318) 364-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 010722 Louisiana

Profile Details

NPI number 1023006590
LBN Legal business name Siskron, Fredric Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Apr 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023006590 NPPES
Louisiana MEDICAID 1920886

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