Healthcare Provider Details

I. General information

NPI: 1699966788
Provider Name (Legal Business Name): JOHN FRANCIS STEEN JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 09/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 DICKORY AVE
HARAHAN LA
70123-2168
US

IV. Provider business mailing address

1525 DICKORY AVE
HARAHAN LA
70123-2168
US

V. Phone/Fax

Practice location:
  • Phone: 504-818-0006
  • Fax: 504-818-0095
Mailing address:
  • Phone: 504-818-0006
  • Fax: 504-818-0095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD.201561
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD.201561
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: