Southern, Edward Paul
Southern, Edward Paul is an individual health care provider with primary practice located at Bayne-Jones Army Community Hospital 1585 Third St, Fort Polk LA 71459. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Southern, Edward Paul can be contacted via phone (337) 531-3000.Contact Information
Primary practice address
Bayne-Jones Army Community Hospital 1585 Third St
Fort Polk LA 71459
Phone: (337) 531-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | C050274 | California |
| Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | C050274 | California |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | C050274 | California |
Profile Details
| NPI number | 1053360941 |
|---|---|
| LBN Legal business name | Southern, Edward Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1053360941 | NPPES |
| Louisiana | MEDICAID | 2301209 |
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