Bonvillain, Jesse J
Bonvillain, Jesse J is an individual health care provider with primary practice located at 1514 Jefferson Hwy , New Orleans LA 70121. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Bonvillain, Jesse J can be contacted via phone (504) 842-4000.Contact Information
Primary practice address
1514 Jefferson Hwy
New Orleans LA 70121
Phone: (504) 842-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 1928 | Louisiana |
Profile Details
| NPI number | 1972719532 |
|---|---|
| LBN Legal business name | Bonvillain, Jesse J |
| Credentials | RD, LDN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2007 |
| Last updated | Nov 5th, 2008 - about 17 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 | 1972719532 | NPPES |
| Louisiana | Other | 1928 | REGISTERED DIETITIAN |
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