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
Fax: (225) 769-0471
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063603397 NPPES
Louisiana MEDICAID 1007617

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