Morvant, Dale J

Morvant, Dale J is an individual health care provider with primary practice located at 8212 Kelwood Ave , Baton Rouge LA 70806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Morvant, Dale J can be contacted via phone (225) 929-7210.

Contact Information

Primary practice address
8212 Kelwood Ave Baton Rouge LA 70806
Fax: (225) 930-7524
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 014777 Louisiana

Profile Details

NPI number 1336249168
LBN Legal business name Morvant, Dale J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 9th, 2007 - about 17 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 1336249168 NPPES
Louisiana MEDICAID 1335576

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