Mancini, Mary Catherine
Mancini, Mary Catherine is an individual health care provider with primary practice located at 1453 E Bert Kouns Industrial Loop Ste 319 , Shreveport LA 71105-6800. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is her primary health care specialty. Mancini, Mary Catherine can be contacted via phone (318) 681-1968.Contact Information
Primary practice address
1453 E Bert Kouns Industrial Loop Ste 319
Shreveport LA 71105-6800
Phone: (318) 681-1968
Fax: (318) 681-1969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD.08695R | Louisiana |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MD.08695R | Louisiana |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 08695R | Louisiana |
Profile Details
| NPI number | 1174546790 |
|---|---|
| LBN Legal business name | Mancini, Mary Catherine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Nov 16th, 2017 - about 9 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 | 1174546790 | NPPES |
| Louisiana | MEDICAID | 1914801 |
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