Provider Demographics
NPI:1770544124
Name:UNKEL, STEVEN PATRICKL (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:PATRICKL
Last Name:UNKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:811 JAMES AVE
Mailing Address - Street 2:
Mailing Address - City:FARMERVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71241-2237
Mailing Address - Country:US
Mailing Address - Phone:318-368-2238
Mailing Address - Fax:318-368-2240
Practice Address - Street 1:811 JAMES AVE
Practice Address - Street 2:
Practice Address - City:FARMERVILLE
Practice Address - State:LA
Practice Address - Zip Code:71241-2237
Practice Address - Country:US
Practice Address - Phone:318-368-2238
Practice Address - Fax:318-368-2240
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA017199207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1346985Medicaid
LA1346985Medicaid
LA4A964Medicare ID - Type Unspecified