Sittig, Kevin Mark
Sittig, Kevin Mark is an individual health care provider with primary practice located at 1541 Kings Hwy Dept Of , Shreveport LA 71103-4228. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Sittig, Kevin Mark can be contacted via phone (318) 813-2655.Contact Information
Primary practice address
1541 Kings Hwy Dept Of
Shreveport LA 71103-4228
Phone: (318) 813-2655
Fax: (318) 675-4689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 017190 | Louisiana |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 017190 | Louisiana |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 017190 | Louisiana |
Profile Details
| NPI number | 1104846989 |
|---|---|
| LBN Legal business name | Sittig, Kevin Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Aug 26th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104846989 | NPPES |
| Louisiana | Other | 55714F600 | MEDICARE - PTAN |
| Louisiana | MEDICAID | 1386138 | MEDICARE - PTAN |
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