Melvin Joseph Marque III
Emergency Medical Services
1905 Country Club Rd
Lake Charles
, Louisiana 70605-5203
Melvin Joseph Marque III
Emergency Medical Services
1905 Country Club Rd
Lake Charles
, Louisiana 70605-5203
(337) 990-8000
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Melvin Joseph Marque III
- 1905 Country Club Rd
- Lake Charles, LA
- Zip : 70605-5203
- Phone : (337) 990-8000
Second Address
- Melvin Joseph Marque III
- 1905 Country Club Rd
- Lake Charles, LA
- Zip : 70605-5203
- Phone : (337) 990-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 024321 | LA |
National Provider Identifier
| NPI | 1063404747 |
|---|---|
| Provider Name | Melvin Joseph Marque III |
| First Address | Lake Charles, LA 70605-5203 |
| Second Address | Lake Charles, LA 70605-5203 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2005 |
| Last Update Date | 23/03/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1109975 | (05) | LA |
| P00980762 | MCARE RR (01) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.