Stubblefield, John Calvin

Stubblefield, John Calvin is an sole proprietor health care provider with primary practice located at 730 E Bayou Pines Dr Suite B, Lake Charles LA 70601-7184. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Stubblefield, John Calvin can be contacted via phone (337) 491-9215.

Contact Information

Primary practice address
730 E Bayou Pines Dr Suite B Lake Charles LA 70601-7184
Phone: (337) 491-9215
Fax: (337) 491-9218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 009849 Louisiana

Profile Details

NPI number 1700860814
LBN Legal business name Stubblefield, John Calvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2005
Last updated Jul 14th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700860814 NPPES
Louisiana MEDICAID 1110329

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