Wooster, Meredith Dewitt

Wooster, Meredith Dewitt is an individual health care provider with primary practice located at 510 E Stoner Ave , Shreveport LA 71101-4243. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Wooster, Meredith Dewitt can be contacted via phone (318) 221-8411.

Contact Information

Primary practice address
510 E Stoner Ave Shreveport LA 71101-4243
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 202599 Louisiana
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 202599 Louisiana

Profile Details

NPI number 1619188364
LBN Legal business name Wooster, Meredith Dewitt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Sep 25th, 2023 - about 2 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 1619188364 NPPES
Louisiana MEDICAID 1078549

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