Ezell, Mary Brookes
Ezell, Mary Brookes is an sole proprietor health care provider with primary practice located at 1430 Tulane Ave # Sl-54 , New Orleans LA 70112-2632. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Ezell, Mary Brookes can be contacted via phone (504) 988-2651.Contact Information
Primary practice address
1430 Tulane Ave # Sl-54
New Orleans LA 70112-2632
Phone: (504) 988-2651
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 201394 | Louisiana |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD.201394 | Louisiana |
Profile Details
NPI number | 1215105853 |
---|---|
LBN Legal business name | Ezell, Mary Brookes |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 18th, 2008 |
Last updated | Jan 27th, 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.
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