Toups, Jerry Elbert

Toups, Jerry Elbert is an individual health care provider with primary practice located at 7821 Youree Dr , Shreveport LA 71105-5505. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Toups, Jerry Elbert can be contacted via phone (318) 213-3668.

Contact Information

Primary practice address
7821 Youree Dr Shreveport LA 71105-5505
Fax: (318) 213-3670
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PD0100 Louisiana

Profile Details

NPI number 1922004381
LBN Legal business name Toups, Jerry Elbert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated May 21st, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922004381 NPPES
Louisiana MEDICAID 1018112

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