Davis, Michelle Mireille
Davis, Michelle Mireille is an sole proprietor health care provider with primary practice located at 4224 Houma Blvd Ste 350 , Metairie LA 70006-2980. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Davis, Michelle Mireille can be contacted via phone (504) 780-9112.Contact Information
Primary practice address
4224 Houma Blvd Ste 350
Metairie LA 70006-2980
Phone: (504) 780-9112
Fax: (314) 536-8784
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 14461R | Louisiana |
Profile Details
| NPI number | 1104898576 |
|---|---|
| LBN Legal business name | Davis, Michelle Mireille |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2006 |
| Last updated | May 19th, 2019 - about 5 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 | 1104898576 | NPPES |
| Louisiana | MEDICAID | 1123684 |
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