Jordan, Manley Mcrae

Jordan, Manley Mcrae is an individual health care provider with primary practice located at 2770 3Rd Ave Suite 110, Lake Charles LA 70601-8994. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Jordan, Manley Mcrae can be contacted via phone (337) 494-2750.

Contact Information

Primary practice address
2770 3Rd Ave Suite 110 Lake Charles LA 70601-8994
Phone: (337) 494-2750
Fax: (337) 494-2760
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 017837 Louisiana

Profile Details

NPI number 1932118296
LBN Legal business name Jordan, Manley Mcrae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Dec 2nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932118296 NPPES
Louisiana Other P00221352 RAILROAD MEDICARE
Louisiana MEDICAID 1468444 RAILROAD MEDICARE

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