Mr. James Fred Sullivan
Kinesiotherapist
510 E Stoner Ave
Shreveport
, Louisiana 71101-4243
Mr. James Fred Sullivan
Kinesiotherapist
510 E Stoner Ave
Shreveport
, Louisiana 71101-4243
(318) 925-3778
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About
Features
Specialties
- Kinesiotherapist
Languages spoken
- English
Location
First Address
- Mr. James Fred Sullivan
- 110 Hunter Lee Ln
- Stonewall, LA
- Zip : 71078-4800
- Phone : (318) 925-3778
Second Address
- Mr. James Fred Sullivan
- 510 E Stoner Ave
- Shreveport, LA
- Zip : 71101-4243
- Fax : (318) 429-5727
- Phone : (318) 424-6106
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 226300000X | Kinesiotherapist | 621 | LA |
National Provider Identifier
| NPI | 1649384983 |
|---|---|
| Provider Name | Mr. James Fred Sullivan |
| First Address | Stonewall, LA 71078-4800 |
| Second Address | Shreveport, LA 71101-4243 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2006 |
| Last Update Date | 08/07/2007 |
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.