1588750566 NPI number — DR. JACK MARVIN MCLENDON JR. M.D.

Table of content: DR. JACK MARVIN MCLENDON JR. M.D. (NPI 1588750566)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588750566 NPI number — DR. JACK MARVIN MCLENDON JR. M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCLENDON
Provider First Name:
JACK
Provider Middle Name:
MARVIN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588750566
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/27/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1120 S JACKSON HWY
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
SHEFFIELD
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35660-5777
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-383-4447
Provider Business Mailing Address Fax Number:
256-381-7999

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1120 S JACKSON HWY
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
SHEFFIELD
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35660-5777
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-383-4447
Provider Business Practice Location Address Fax Number:
256-381-7999
Provider Enumeration Date:
10/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  11461 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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