Alba, Jose

Alba, Jose is an individual health care provider with primary practice located at 2600 Greenwood Rd , Shreveport LA 71103-3908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Alba, Jose can be contacted via phone (318) 212-4550.

Contact Information

Primary practice address
2600 Greenwood Rd Shreveport LA 71103-3908
Phone: (318) 212-4550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD013506 Louisiana

Profile Details

NPI number 1053370023
LBN Legal business name Alba, Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Feb 2nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053370023 NPPES
Louisiana MEDICAID 1169251

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