Wells, Annie
Wells, Annie is an individual health care provider with primary practice located at 3113 Moore Station Rd , Shreveport LA 71108-5043. She recently has only one registered license in Other Service Providers / Vehicle Modifications, which is considered as her primary health care specialty. Wells, Annie can be contacted via phone (318) 423-4561.Contact Information
Primary practice address
3113 Moore Station Rd
Shreveport LA 71108-5043
Phone: (318) 423-4561
Fax: (318) 848-7713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Vehicle Modifications | 171WV0202X | 002803974 | Louisiana |
Profile Details
| NPI number | 1780032359 |
|---|---|
| LBN Legal business name | Wells, Annie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2016 |
| Last updated | May 24th, 2016 - about 8 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 | 1780032359 | NPPES |
| Louisiana | MEDICAID | 811916782 |
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