Ross, Carl Wendell

Ross, Carl Wendell is an individual health care provider with primary practice located at 410 Louisiana Ave , Lake Charles LA 70601-3230. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Ross, Carl Wendell can be contacted via phone (337) 439-4923.

Contact Information

Primary practice address
410 Louisiana Ave Lake Charles LA 70601-3230
Phone: (337) 439-4923
Fax: (337) 439-4410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 04474R Louisiana

Profile Details

NPI number 1295788370
LBN Legal business name Ross, Carl Wendell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 8th, 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 1295788370 NPPES
Louisiana MEDICAID 1314111

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