Desir-Joseph, Ingrid Israell
Desir-Joseph, Ingrid Israell is an individual health care provider with primary practice located at 2400 Mt. Zion Parkway Kaiser Permanente Southwood Medical Center, Jonesboro GA 30236. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Desir-Joseph, Ingrid Israell can be contacted via phone (770) 603-3606.Contact Information
Primary practice address
2400 Mt. Zion Parkway Kaiser Permanente Southwood Medical Center
Jonesboro GA 30236
Phone: (770) 603-3606
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 056279 | Georgia |
Profile Details
| NPI number | 1255433918 |
|---|---|
| LBN Legal business name | Desir-Joseph, Ingrid Israell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Feb 9th, 2022 - about 2 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 | 1255433918 | NPPES |
| Georgia | MEDICAID | 722172069B | |
| Georgia | Other | P00401479 |
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