Dease, Edward Jackson

Dease, Edward Jackson is an sole proprietor health care provider with primary practice located at 229 Saint John Ln , Covington LA 70433. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Dease, Edward Jackson can be contacted via phone (866) 875-9225.

Contact Information

Primary practice address
229 Saint John Ln Covington LA 70433
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 09339R Louisiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 00025600 Alabama

Profile Details

NPI number 1881637973
LBN Legal business name Dease, Edward Jackson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Jul 26th, 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.

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