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Contact Information

FAMILY FOOT AND ANKLE CLINIC
3626 YOUREE DR
SHREVEPORT, LA71105-2122
 Phone: 318-869-2960
 Fax: 318-869-2958
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FAMILY FOOT AND ANKLE CLINIC · (Female)

NPI # 1336471838
Status Active
Credentials
Entity Individual
Enumeration date 02/08/2010
Last updated 03/03/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # PD196R
  • LA Medicaid 1999105
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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