Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 1232 | LA |
NPI | 1043306434 |
---|---|
Provider Name | Dr. Jon Eric Zeagler |
First Address | Natchitoches, LA 71457-5053 |
Second Address | Natchitoches, LA 71457-5053 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 08/07/2007 |