Melancon, Carol Baker

Melancon, Carol Baker is an individual health care provider with primary practice located at 5253 Dijon Dr Suite A, Baton Rouge LA 70808-4312. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Melancon, Carol Baker can be contacted via phone (225) 768-1611.

Contact Information

Primary practice address
5253 Dijon Dr Suite A Baton Rouge LA 70808-4312
Fax: (225) 768-1615
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 11155R Louisiana

Profile Details

NPI number 1588625040
LBN Legal business name Melancon, Carol Baker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Sep 29th, 2014 - about 10 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 1588625040 NPPES
Louisiana MEDICAID 1666823

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