Vandermolen, David Theodore

Vandermolen, David Theodore is an individual health care provider with primary practice located at 2401 Greenwood Rd Suite A, Shreveport LA 71103-4010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Vandermolen, David Theodore can be contacted via phone (318) 841-5800.

Contact Information

Primary practice address
2401 Greenwood Rd Suite A Shreveport LA 71103-4010
Phone: (318) 841-5800
Fax: (318) 841-5817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 12977R Louisiana

Profile Details

NPI number 1366462368
LBN Legal business name Vandermolen, David Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Apr 8th, 2020 - about 6 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 1366462368 NPPES
Louisiana MEDICAID 1551767

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