Vigen, Mark P.

Vigen, Mark P. is an individual health care provider with primary practice located at 3341 Youree Dr Ste 20A , Shreveport LA 71105-2149. He recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as his primary health care specialty. Vigen, Mark P. can be contacted via phone (318) 425-2000.

Contact Information

Primary practice address
3341 Youree Dr Ste 20A Shreveport LA 71105-2149
Phone: (318) 425-2000
Fax: (318) 424-2601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X 280 Louisiana

Profile Details

NPI number 1457329120
LBN Legal business name Vigen, Mark P.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jan 8th, 2020 - about 5 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 1457329120 NPPES
Louisiana Other 20559 BLUE CROSS/BLUE SHIELD
Louisiana Other 009755 BLUE CROSS/BLUE SHIELD

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