Provider Demographics
NPI:1649240383
Name:SLUSHER, WILLIAM J (MD)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:J
Last Name:SLUSHER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:107 WATTS ST
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:LA
Mailing Address - Zip Code:71251-2053
Mailing Address - Country:US
Mailing Address - Phone:318-395-2121
Mailing Address - Fax:318-395-8768
Practice Address - Street 1:107 WATTS ST
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:LA
Practice Address - Zip Code:71251-2053
Practice Address - Country:US
Practice Address - Phone:318-395-2121
Practice Address - Fax:318-395-8768
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2021-04-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA25061207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAH87075Medicare UPIN
LA0599520002Medicare NSC