Gautreaux, Jessica Renee
Gautreaux, Jessica Renee is an sole proprietor health care provider with primary practice located at 200 Henry Clay Ave , New Orleans LA 70118-5720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Gautreaux, Jessica Renee can be contacted via phone (504) 894-6783.Contact Information
Primary practice address
200 Henry Clay Ave
New Orleans LA 70118-5720
Phone: (504) 894-6783
Fax: (504) 894-4150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | MD.202892 | Louisiana |
Profile Details
| NPI number | 1760666556 |
|---|---|
| LBN Legal business name | Gautreaux, Jessica Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2007 |
| Last updated | Jun 18th, 2012 - about 12 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 | 1760666556 | NPPES |
| Louisiana | MEDICAID | 1005576 |
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