Hevron, John Ellis

Hevron, John Ellis is an individual health care provider with primary practice located at 4228 Houma Blvd Ste 410, Metairie LA 70006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Hevron, John Ellis can be contacted via phone (504) 454-0606.

Contact Information

Primary practice address
4228 Houma Blvd Ste 410 Metairie LA 70006
Fax: (504) 454-0705
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD011355 Louisiana

Profile Details

NPI number 1376595231
LBN Legal business name Hevron, John Ellis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jan 20th, 2017 - about 7 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 1376595231 NPPES
Louisiana MEDICAID 1168556

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