Mcclintock, Laura L

Mcclintock, Laura L is an sole proprietor health care provider with primary practice located at 710 Slattery Blvd , Shreveport LA 71104-4922. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Mcclintock, Laura L can be contacted via phone (817) 731-6121.

Contact Information

Primary practice address
710 Slattery Blvd Shreveport LA 71104-4922
Phone: (817) 731-6121
Fax: (817) 732-8015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 020259 Louisiana

Profile Details

NPI number 1932174414
LBN Legal business name Mcclintock, Laura L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2006
Last updated Oct 29th, 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 1932174414 NPPES
Louisiana MEDICAID 1143227
Louisiana Other P00148407
Louisiana Other 020259

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