Swan, John L

Swan, John L is an individual health care provider with primary practice located at 2752 Zelda Rd , Montgomery AL 36106-2694. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Swan, John L can be contacted via phone (334) 481-2800.

Contact Information

Primary practice address
2752 Zelda Rd Montgomery AL 36106-2694
Fax: (334) 270-3375
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 12771 Alabama

Profile Details

NPI number 1336124742
LBN Legal business name Swan, John L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Dec 23rd, 2013 - about 11 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 1336124742 NPPES
Alabama MEDICAID 000083593

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