Amigo, Anthony M
Amigo, Anthony M is an sole proprietor health care provider with primary practice located at 338 Moreau St , Marksville LA 71351-2956. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Amigo, Anthony M can be contacted via phone (318) 253-5647.Contact Information
Primary practice address
338 Moreau St
Marksville LA 71351-2956
Phone: (318) 253-5647
Fax: (318) 253-5876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 11268R | Louisiana |
Profile Details
| NPI number | 1972598944 |
|---|---|
| LBN Legal business name | Amigo, Anthony M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Mar 17th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972598944 | NPPES |
| Louisiana | MEDICAID | 1664839 |
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