Dr. Allen J Herbert
Family Doctor
411 E Vaughn Ave Suite 203
Ruston
, Louisiana 71270-5972
Dr. Allen J Herbert
Family Doctor
411 E Vaughn Ave Suite 203
Ruston
, Louisiana 71270-5972
(318) 425-5815
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Allen J Herbert
- Po Box 1768
- Shreveport, LA
- Zip : 71166-1768
- Fax : (318) 425-5815
- Phone : (318) 677-7450
Second Address
- Dr. Allen J Herbert
- 411 E Vaughn Ave Suite 203
- Ruston, LA
- Zip : 71270-5972
- Fax : (318) 425-2335
- Phone : (318) 255-7474
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | MD 010285 | LA |
National Provider Identifier
| NPI | 1003863234 |
|---|---|
| Provider Name | Dr. Allen J Herbert |
| First Address | Shreveport, LA 71166-1768 |
| Second Address | Ruston, LA 71270-5972 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2006 |
| Last Update Date | 12/11/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1126403 | (05) | LA |
| 720972556 | TRICARE (01) | LA |
| B60462 | (02) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.