Haynie, Laura Sherrod

Haynie, Laura Sherrod is an individual health care provider with primary practice located at 2751 Albert L Bicknell Dr Suite 2-D, Shreveport LA 71103-3920. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Haynie, Laura Sherrod can be contacted via phone (318) 221-2623.

Contact Information

Primary practice address
2751 Albert L Bicknell Dr Suite 2-D Shreveport LA 71103-3920
Phone: (318) 221-2623
Fax: (318) 424-9850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 017142 Louisiana

Profile Details

NPI number 1679517148
LBN Legal business name Haynie, Laura Sherrod
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 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 1679517148 NPPES
Louisiana MEDICAID 1374318

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