National Provider Identifier Database

WK SHREVEPORT CENTER FOR GERIATRIC HEALTH
Geriatric Psychiatry

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.


Contact Information

WK SHREVEPORT CENTER FOR GERIATRIC HEALTH
2508 BERT KOUNS LOOP
SUITE 303
SHREVEPORT, LA71118-3133
Phone: 318-212-5850
Fax: 318-212-5855
Website:
Specialty Taxonomy Code
* Geriatric Psychiatry 2084P0805X

* Indicates primary specialty

NPI Profile & details for WK SHREVEPORT CENTER FOR GERIATRIC HEALTH

NPI Number 1114256476
Legal business name
LBN
WK SHREVEPORT CENTER FOR GERIATRIC HEALTH
Authorized official GREG GAVIN - (NETWORK ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 12/16/2009
Last updated 01/23/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • LA Medicaid: 1818798
  • LA Other: 5DL73 MEDICARE PTAN

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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