Irby, Cherise A
Irby, Cherise A is an sole proprietor health care provider with primary practice located at 1905 Fairfield Ave , Shreveport LA 71101-4436. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Irby, Cherise A can be contacted via phone (318) 629-4729.Contact Information
Primary practice address
1905 Fairfield Ave
Shreveport LA 71101-4436
Phone: (318) 629-4729
Fax: (318) 629-4730
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 24995 | Louisiana |
Profile Details
| NPI number | 1306832142 |
|---|---|
| LBN Legal business name | Irby, Cherise A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Nov 20th, 2009 - about 17 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 | 1306832142 | NPPES |
| Louisiana | Other | 0402562 | UNITED HEALTHCARE |
| Louisiana | Other | 7483495 | UNITED HEALTHCARE |
| Louisiana | MEDICAID | 1423301 | UNITED HEALTHCARE |
| Louisiana | Other | 273431 | UNITED HEALTHCARE |
| Louisiana | Other | P00023608 | UNITED HEALTHCARE |
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