Mixon, William Alfred

Mixon, William Alfred is an individual health care provider with primary practice located at 1717 Oak Park Blvd Suite 1, Lake Charles LA 70601-8991. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mixon, William Alfred can be contacted via phone (337) 478-3810.

Contact Information

Primary practice address
1717 Oak Park Blvd Suite 1 Lake Charles LA 70601-8991
Phone: (337) 478-3810
Fax: (337) 478-6360
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 09373 Louisiana

Profile Details

NPI number 1710969704
LBN Legal business name Mixon, William Alfred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710969704 NPPES
Louisiana MEDICAID 1112437
Louisiana Other 5846182

Popular Providers