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Contact Information

ANNIE WELLS
3113 MOORE STATION RD
SHREVEPORT, LA71108-5043
 Phone: 318-423-4561
 Fax: 318-848-7713
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vehicle Modifications

171WV0202X
Indicates primary specialty

NPI Profile & details for ANNIE WELLS · (Female)

NPI Number 1780032359
Status Active
Credentials
Entity Individual
Enumeration date 05/24/2016
Last updated 05/24/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 002803974
  • LA Medicaid 811916782
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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