Underwood, John G
Underwood, John G is an individual health care provider with primary practice located at 9091 Ellerbe Rd Ste 200, Shreveport LA 71106-6738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Underwood, John G can be contacted via phone (318) 681-1630.Contact Information
Primary practice address
9091 Ellerbe Rd Ste 200
Shreveport LA 71106-6738
Phone: (318) 681-1630
Fax: (318) 681-1632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L03841 | Louisiana |
Profile Details
| NPI number | 1619937802 |
|---|---|
| LBN Legal business name | Underwood, John G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1619937802 | NPPES |
| Louisiana | MEDICAID | 1300675 |
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