Mercado, Jorge Manuel
Mercado, Jorge Manuel is an individual health care provider with primary practice located at 3580 Peach St Suite 103A, Erie PA 16508-2776. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Mercado, Jorge Manuel can be contacted via phone (814) 864-4755.Contact Information
Primary practice address
3580 Peach St Suite 103A
Erie PA 16508-2776
Phone: (814) 864-4755
Fax: (814) 864-5430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD434424 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD434424 | Pennsylvania |
Profile Details
| NPI number | 1447411970 |
|---|---|
| LBN Legal business name | Mercado, Jorge Manuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2008 |
| Last updated | Feb 26th, 2021 - about 3 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 | 1447411970 | NPPES |
| Pennsylvania | MEDICAID | 1023282150001 | |
| Pennsylvania | Other | 1470457 |
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