Drummond, Jerry Welton

Drummond, Jerry Welton is an individual health care provider with primary practice located at 2514 Bert Kouns Ind Loop Physicians Plaza #9, Shreveport LA 71118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Drummond, Jerry Welton can be contacted via phone (318) 688-5710.

Contact Information

Primary practice address
2514 Bert Kouns Ind Loop Physicians Plaza #9 Shreveport LA 71118
Phone: (318) 688-5710
Fax: (318) 688-5766
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 002586FELLOWAMACADEM Louisiana
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD03856R Louisiana

Profile Details

NPI number 1295828374
LBN Legal business name Drummond, Jerry Welton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 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 1295828374 NPPES
Louisiana MEDICAID 1176061

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