Underwood, John G

Underwood, John G is an individual health care provider with primary practice located at 9091 Ellerbe Rd Ste 200, Shreveport LA 71106-6738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Underwood, John G can be contacted via phone (318) 681-1630.

Contact Information

Primary practice address
9091 Ellerbe Rd Ste 200 Shreveport LA 71106-6738
Fax: (318) 681-1632
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L03841 Louisiana

Profile Details

NPI number 1619937802
LBN Legal business name Underwood, John G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619937802 NPPES
Louisiana MEDICAID 1300675

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