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Contact Information

IVAN SKOCIBUSIC, RT (R)
5552 NORTHWOOD SOUTH RD
SHREVEPORT, LA71107-9263
 Phone: 318-205-2667
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiography Radiologic Technologist

2471C3402X
Indicates primary specialty

NPI Profile & details for IVAN SKOCIBUSIC · (Male)

NPI Number 1124962352
Status Active
Credentials RT (R)
Entity Individual
Enumeration date 04/17/2026
Last updated 04/17/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • LA License # 561226
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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