Danzell, Jerome

Danzell, Jerome is an individual health care provider with primary practice located at 2727 Hearne Ave , Shreveport LA 71103-3931. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Danzell, Jerome can be contacted via phone (318) 631-6400.

Contact Information

Primary practice address

2727 Hearne Ave Shreveport LA 71103-3931

Phone: (318) 631-6400

Fax: (318) 631-0300

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Cardiovascular Disease	207RC0000X	021324	Louisiana

Profile Details

NPI number	1265406953
LBN Legal business name	Danzell, Jerome
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Feb 17th, 2006
Last updated	Jul 8th, 2007 - 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.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1265406953	NPPES
Louisiana	MEDICAID	1696897

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