Prince, Maurice L

Prince, Maurice L is an individual health care provider with primary practice located at 524 S Ryan St , Lake Charles LA 70601-5725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Prince, Maurice L can be contacted via phone (337) 491-7755.

Contact Information

Primary practice address
524 S Ryan St Lake Charles LA 70601-5725
Phone: (337) 491-7755
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 023832 Louisiana

Profile Details

NPI number 1922040484
LBN Legal business name Prince, Maurice L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Aug 6th, 2014 - about 10 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 1922040484 NPPES
Louisiana MEDICAID 1485454

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