Vockroth, John
Vockroth, John is an sole proprietor health care provider with primary practice located at 120 Meadowcrest St Suite 120, Gretna LA 70056-5255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Vockroth, John can be contacted via phone (504) 620-5661.Contact Information
Primary practice address
120 Meadowcrest St Suite 120
Gretna LA 70056-5255
Phone: (504) 620-5661
Fax: (504) 620-5675
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 10349R | Louisiana |
Profile Details
NPI number | 1841282100 |
---|---|
LBN Legal business name | Vockroth, John |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 22nd, 2005 |
Last updated | Mar 13th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841282100 | NPPES |
Louisiana | Other | 80756 | AETNA |
Louisiana | MEDICAID | 1986721 | AETNA |
Louisiana | Other | F7245 | AETNA |
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