Waterfallen, John W

Waterfallen, John W is an individual health care provider with primary practice located at 7941 Youree Dr , Shreveport LA 71105-5538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Waterfallen, John W can be contacted via phone (318) 797-7941.

Contact Information

Primary practice address
7941 Youree Dr Shreveport LA 71105-5538
Fax: (318) 797-7991
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 014123 Louisiana

Profile Details

NPI number 1164417309
LBN Legal business name Waterfallen, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jul 8th, 2007 - about 18 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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