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:
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Health care specialties

SpecialtyCodeLicense #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 4 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 1447411970 NPPES
Pennsylvania MEDICAID 1023282150001
Pennsylvania Other 1470457

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