Sledge, John B
Sledge, John B is an individual health care provider with primary practice located at 1018 S Gretna Green Way , Los Angeles CA 90049-5831. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Sledge, John B can be contacted via phone (781) 254-7599.Contact Information
Primary practice address
1018 S Gretna Green Way
Los Angeles CA 90049-5831
Phone: (781) 254-7599
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD.205141 | Louisiana |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 80940 | Massachusetts |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 80940 | Massachusetts |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G172374 | California |
Profile Details
| NPI number | 1255319869 |
|---|---|
| LBN Legal business name | Sledge, John B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Jun 17th, 2024 - about 2 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 | 1255319869 | NPPES |
| Louisiana | MEDICAID | 2183311 | |
| Louisiana | Other | 733396 | |
| Louisiana | Other | J31314 | |
| Louisiana | MEDICAID | 3145832 |
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