Meadows, Mark Allen
Meadows, Mark Allen is an sole proprietor health care provider with primary practice located at 8777 Bluebonnet Blvd Suite B, Baton Rouge LA 70810-2818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Meadows, Mark Allen can be contacted via phone (225) 767-5525.Contact Information
Primary practice address
8777 Bluebonnet Blvd Suite B
Baton Rouge LA 70810-2818
Phone: (225) 767-5525
Fax: (225) 767-5339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 022311 | Louisiana |
Profile Details
| NPI number | 1538178751 |
|---|---|
| LBN Legal business name | Meadows, Mark Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1538178751 | NPPES |
| Louisiana | Other | 022311 | MEDICAL LICENSE |
| Louisiana | MEDICAID | 1539520 | MEDICAL LICENSE |
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