Sullivan, James Fred

Sullivan, James Fred is an sole proprietor health care provider with primary practice located at 510 E Stoner Ave , Shreveport LA 71101-4243. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist, which is considered as his primary health care specialty. Sullivan, James Fred can be contacted via phone (318) 424-6106.

Contact Information

Primary practice address
510 E Stoner Ave Shreveport LA 71101-4243
Phone: (318) 424-6106
Fax: (318) 429-5727
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist 226300000X 621 Louisiana

Profile Details

NPI number 1649384983
LBN Legal business name Sullivan, James Fred
Credentials RKT CEP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers