Polanco, Marcelo Granado
Polanco, Marcelo Granado is an individual health care provider with primary practice located at 731 S Main St Ste A , Church Point LA 70525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Polanco, Marcelo Granado can be contacted via phone (337) 684-0911.Contact Information
Primary practice address
731 S Main St Ste A
Church Point LA 70525
Phone: (337) 684-0911
Fax: (337) 684-0912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 023828 | Louisiana |
Profile Details
| NPI number | 1982789194 |
|---|---|
| LBN Legal business name | Polanco, Marcelo Granado |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Jun 7th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982789194 | NPPES |
| Louisiana | MEDICAID | 1485438 |
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