Whatley, Jordan Lynn
Whatley, Jordan Lynn is an individual health care provider with primary practice located at 5326 Odonovan Dr , Baton Rouge LA 70808-4691. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Whatley, Jordan Lynn can be contacted via phone (225) 769-7546.Contact Information
Primary practice address
5326 Odonovan Dr
Baton Rouge LA 70808-4691
Phone: (225) 769-7546
Fax: (225) 769-0471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD.201860 | Louisiana |
Profile Details
| NPI number | 1063603397 |
|---|---|
| LBN Legal business name | Whatley, Jordan Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Mar 17th, 2017 - about 7 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 | 1063603397 | NPPES |
| Louisiana | MEDICAID | 1007617 |
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