Melancon, Thomas P

Melancon, Thomas P is an individual health care provider with primary practice located at 1111 Medical Center Blvd Suite 205, Marrero LA 70072-3151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Melancon, Thomas P can be contacted via phone (504) 392-7999.

Contact Information

Primary practice address
1111 Medical Center Blvd Suite 205 Marrero LA 70072-3151
Phone: (504) 392-7999
Fax: (504) 392-6100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18656 Louisiana

Profile Details

NPI number 1811989197
LBN Legal business name Melancon, Thomas P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Aug 25th, 2010 - about 14 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 1811989197 NPPES
Louisiana Other F7245 BLUE CROSS
Louisiana Other 110208321 BLUE CROSS
Louisiana MEDICAID 1397610 BLUE CROSS
Louisiana Other 80752 BLUE CROSS

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