Mclemore, Charles G

Mclemore, Charles G is an individual health care provider with primary practice located at 1106 Ryan St , Lake Charles LA 70601-5252. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mclemore, Charles G can be contacted via phone (337) 497-9355.

Contact Information

Primary practice address
1106 Ryan St Lake Charles LA 70601-5252
Phone: (337) 497-9355
Fax: (337) 437-3692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN078593-AP03159 Louisiana

Profile Details

NPI number 1497736995
LBN Legal business name Mclemore, Charles G
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated May 21st, 2019 - about 5 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 1497736995 NPPES
Louisiana MEDICAID 1531812

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