Healthcare Provider Details
I. General information
NPI: 1285681049
Provider Name (Legal Business Name): SFN PROFESSIONAL MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3421 MEDICAL PARK DR
MONROE LA
71203-2355
US
IV. Provider business mailing address
PO BOX 1555
WINNSBORO LA
71295-1555
US
V. Phone/Fax
- Phone: 318-388-1946
- Fax:
- Phone: 318-388-7828
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RONALD
E
HOGAN
Title or Position: CFO/SR VP OF FINANCE SFMC
Credential:
Phone: 318-327-7369