Maccurdy, Dale Moreland

Maccurdy, Dale Moreland is an individual health care provider with primary practice located at 1001 Gause Blvd , Slidell LA 70458-2939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Maccurdy, Dale Moreland can be contacted via phone (985) 646-0691.

Contact Information

Primary practice address
1001 Gause Blvd Slidell LA 70458-2939
Phone: (985) 646-0691
Fax: (985) 646-0750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 014766 Louisiana

Profile Details

NPI number 1104892363
LBN Legal business name Maccurdy, Dale Moreland
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1104892363 NPPES
Mississippi MEDICAID 00018026
Mississippi MEDICAID 1194387

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