Smith, James Frederick

Smith, James Frederick is an individual health care provider with primary practice located at 1453 E Bert Koun Loop Ste 112 , Shreveport LA 71105-6810. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Smith, James Frederick can be contacted via phone (318) 798-9400.

Contact Information

Primary practice address
1453 E Bert Koun Loop Ste 112 Shreveport LA 71105-6810
Fax: (318) 795-4656
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD.019480 Louisiana
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD.019480 Louisiana

Profile Details

NPI number 1881684256
LBN Legal business name Smith, James Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Dec 9th, 2021 - about 4 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 1881684256 NPPES
Louisiana Other 060052978 RAILROAD MEDICARE
Louisiana MEDICAID 123394001 RAILROAD MEDICARE
Louisiana MEDICAID 1968722 RAILROAD MEDICARE
Louisiana MEDICAID 056836201 RAILROAD MEDICARE

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