Murrill, Melvin Mokiso

Murrill, Melvin Mokiso is an sole proprietor health care provider with primary practice located at 4560 North Blvd Suite 114, Baton Rouge LA 70806-4043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Murrill, Melvin Mokiso can be contacted via phone (225) 928-0695.

Contact Information

Primary practice address
4560 North Blvd Suite 114 Baton Rouge LA 70806-4043
Phone: (225) 928-0695
Fax: (225) 928-3662
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 014291 Louisiana

Profile Details

NPI number 1801800354
LBN Legal business name Murrill, Melvin Mokiso
Credentials MEDICAL DOCTOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Mar 28th, 2014 - about 11 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 1801800354 NPPES
Louisiana Other 720923279 TAX IDENTIFICATION NUMBER
Louisiana MEDICAID 1305561 TAX IDENTIFICATION NUMBER

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