Desalvo, Jay Fisher

Desalvo, Jay Fisher is an individual health care provider with primary practice located at 95 E Fairway Dr Lakeview Regional Med Center, Covington LA 70433-7500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Desalvo, Jay Fisher can be contacted via phone (985) 867-4000.

Contact Information

Primary practice address
95 E Fairway Dr Lakeview Regional Med Center Covington LA 70433-7500
Phone: (985) 867-4000
Fax: (985) 867-4001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 09220R Louisiana

Profile Details

NPI number 1942278197
LBN Legal business name Desalvo, Jay Fisher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 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

StateTypeNumberIssuer
All States NPI 1942278197 NPPES
Louisiana MEDICAID 1960829

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