National Provider Identifier Database

SOUTH BOSSIER MEDICAL
Rural Health


Contact Information

SOUTH BOSSIER MEDICAL
5668 BARKSDALE BLVD
BOSSIER CITY, LA71112
Phone: 318-735-1800
Fax: 318-725-4960
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family Medicine 207Q00000X
Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for SOUTH BOSSIER MEDICAL

NPI Number 1649993585
Legal business name
LBN
SOUTH BOSSIER MEDICAL
Authorized official DAVID JONES - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 09/26/2022
Last updated 12/09/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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.

Reviews for SOUTH BOSSIER MEDICAL

There are currently no reviews for SOUTH BOSSIER MEDICAL


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