Marque, Melvin Joseph

Marque, Melvin Joseph is an sole proprietor health care provider with primary practice located at 1905 Country Club Rd , Lake Charles LA 70605-5203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Marque, Melvin Joseph can be contacted via phone (337) 990-8000.

Contact Information

Primary practice address
1905 Country Club Rd Lake Charles LA 70605-5203
Phone: (337) 990-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 024321 Louisiana

Profile Details

NPI number 1063404747
LBN Legal business name Marque, Melvin Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2005
Last updated Mar 23rd, 2017 - about 7 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 1063404747 NPPES
Louisiana MEDICAID 1109975
Louisiana Other P00980762

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