Siskron, Fredric T
Siskron, Fredric T is an individual health care provider with primary practice located at 2551 Greenwood Rd Suite 140, Shreveport LA 71103-3981. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Siskron, Fredric T can be contacted via phone (318) 212-8899.Contact Information
Primary practice address
2551 Greenwood Rd Suite 140
Shreveport LA 71103-3981
Phone: (318) 212-8899
Fax: (318) 212-8806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 023873 | Louisiana |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 01071979A | Indiana |
Profile Details
| NPI number | 1437114824 |
|---|---|
| LBN Legal business name | Siskron, Fredric T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | May 21st, 2020 - about 6 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 | 1437114824 | NPPES |
| Louisiana | MEDICAID | 1054232 |
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