Vitter, John Mark

Vitter, John Mark is an individual health care provider with primary practice located at 1101 Medical Center Blvd Radiology Dept, Marrero LA 70072-3147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Vitter, John Mark can be contacted via phone (504) 349-1461.

Contact Information

Primary practice address
1101 Medical Center Blvd Radiology Dept Marrero LA 70072-3147
Fax: (504) 349-1461
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 014693 Louisiana

Profile Details

NPI number 1346297652
LBN Legal business name Vitter, John Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jan 21st, 2011 - about 14 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 1346297652 NPPES
Louisiana MEDICAID 1333638
Louisiana MEDICAID 05808322

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