Everton, Victoria L

Everton, Victoria L is an individual health care provider with primary practice located at 2530 Bert Kouns Loop Suite 138, Shreveport LA 71118-3132. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is her primary health care specialty. Everton, Victoria L can be contacted via phone (318) 212-5911.

Contact Information

Primary practice address
2530 Bert Kouns Loop Suite 138 Shreveport LA 71118-3132
Phone: (318) 212-5911
Fax: (318) 212-5168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11085R Louisiana
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X MD11085R Louisiana

Profile Details

NPI number 1952339038
LBN Legal business name Everton, Victoria L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jun 24th, 2021 - about 4 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 1952339038 NPPES
Louisiana MEDICAID 1584258

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