Alsup, Ronald Teddie

Alsup, Ronald Teddie is an individual health care provider with primary practice located at 2551 Greenwood Rd Suite 410, Shreveport LA 71103-3981. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Alsup, Ronald Teddie can be contacted via phone (318) 925-2929.

Contact Information

Primary practice address
2551 Greenwood Rd Suite 410 Shreveport LA 71103-3981
Phone: (318) 925-2929
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 011629 Louisiana

Profile Details

NPI number 1760444368
LBN Legal business name Alsup, Ronald Teddie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Nov 15th, 2007 - about 19 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 1760444368 NPPES
Louisiana MEDICAID 1162086

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