Stafford, Paul R
Stafford, Paul R is an individual health care provider with primary practice located at 1811 E Bert Kouns Industrial Loop Ste 210 , Shreveport LA 71105-5740. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Stafford, Paul R can be contacted via phone (318) 212-3858.Contact Information
Primary practice address
1811 E Bert Kouns Industrial Loop Ste 210
Shreveport LA 71105-5740
Phone: (318) 212-3858
Fax: (318) 212-3958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD.022010 | Louisiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD.022010 | Louisiana |
Profile Details
| NPI number | 1396735759 |
|---|---|
| LBN Legal business name | Stafford, Paul R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | May 5th, 2022 - about 4 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 | 1396735759 | NPPES |
| Louisiana | Other | 060053206 | RAILROAD MEDICARE |
| Louisiana | MEDICAID | 134543001 | RAILROAD MEDICARE |
| Louisiana | MEDICAID | 060129601 | RAILROAD MEDICARE |
| Louisiana | MEDICAID | 1687430 | RAILROAD MEDICARE |
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