Slack, Stephen Daniel

Slack, Stephen Daniel is an sole proprietor health care provider with primary practice located at 458 W 61St St , Shreveport LA 71106-2511. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Slack, Stephen Daniel can be contacted via phone (318) 510-1141.

Contact Information

Primary practice address
458 W 61St St Shreveport LA 71106-2511
Phone: (318) 510-1141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1386141539
LBN Legal business name Slack, Stephen Daniel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2018
Last updated Apr 12th, 2018 - about 7 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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