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Contact Information

PEDIATRIC GI SPECIALISTS, LLC
1801 FAIRFIELD AVE
SUITE 305
SHREVEPORT, LA71101-4467
 Phone: 318-629-7769
 Fax: 318-629-7768
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC GI SPECIALISTS LLC · (Female)

NPI # 1831334051
Status Active
Credentials
Entity Individual
Enumeration date 12/03/2008
Last updated 03/03/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA Medicaid 1706523
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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