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Contact Information

PATRICK G MCCROSSEN, DDS MD
4502 LOUISIANA HWY 951
JACKSON, LA70748
 Phone: 225-634-0413
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for PATRICK G MCCROSSEN · (Male)

NPI Number 1073539300
Status Active
Credentials DDS MD
Entity Individual
Enumeration date 07/13/2006
Last updated 05/03/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 19928
  • LA License # 3309
  • MS License # 15060
  • MS Medicaid 02481083
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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