Dzurik, Gerald Andrew
Dzurik, Gerald Andrew is an individual health care provider with primary practice located at 1819 East 70Th St , Shreveport LA 71105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dzurik, Gerald Andrew can be contacted via phone (318) 797-6601.Contact Information
Primary practice address
1819 East 70Th St
Shreveport LA 71105
Phone: (318) 797-6601
Fax: (318) 797-5999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 012157 | Louisiana |
Profile Details
| NPI number | 1780642512 |
|---|---|
| LBN Legal business name | Dzurik, Gerald Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780642512 | NPPES |
| Louisiana | MEDICAID | 1127281 |
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