Mcclure, Eddie Dale
Mcclure, Eddie Dale is an individual health care provider with primary practice located at 5368 Kennesaw Dr , Baton Rouge LA 70817-2555. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Mcclure, Eddie Dale can be contacted via phone (225) 753-0441.Contact Information
Primary practice address
5368 Kennesaw Dr
Baton Rouge LA 70817-2555
Phone: (225) 753-0441
Fax: (225) 753-3320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 10-00013656 | Louisiana |
Profile Details
| NPI number | 1750662474 |
|---|---|
| LBN Legal business name | Mcclure, Eddie Dale |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2011 |
| Last updated | Sep 8th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750662474 | NPPES |
| Louisiana | Other | 1508876095 | MEDICAID NPI NUMBER |
| Louisiana | MEDICAID | 1156612 | MEDICAID NPI NUMBER |
Popular Providers
-
Shira, Karen
1919 Lathrop St Suite 103, Fairbanks AK 99701 -
Friedland, Philip
3700 Atlanta Hwy , Athens GA 30606-7201 -
Damm, William George
115 Lyra St , Orange Park FL 32073-2504 -
Cook, John Olan
3535 Perkins Rd Suite 330, Baton Rouge LA 70808-2262 -
Parker, Tracy
14790 Wax Rd Ste 107 , Baton Rouge LA 70818-4288 -
Ruiz, Angel Luis
109 Calle De Diego E , Mayaguez PR 00680-4863 -
Chamberlain, Walter E
9 S Spring St , Concord NH 03301-2425 -
Nguyen, Nam
3535 Perkins Rd Ste 330 , Baton Rouge LA 70808-2292