Fouts, Darrell L

Fouts, Darrell L is an individual health care provider with primary practice located at 8001 Youree Dr , Shreveport LA 71115-2302. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Fouts, Darrell L can be contacted via phone (318) 212-3220.

Contact Information

Primary practice address
8001 Youree Dr Shreveport LA 71115-2302
Phone: (318) 212-3220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN057165AP01505 Louisiana

Profile Details

NPI number 1629068887
LBN Legal business name Fouts, Darrell L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Sep 19th, 2008 - about 18 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 1629068887 NPPES
Louisiana MEDICAID 1904589

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