Jacob, Ryan Andre
Jacob, Ryan Andre is an individual health care provider with primary practice located at 4228 Houma Blvd Suite 220, Metairie LA 70006-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jacob, Ryan Andre can be contacted via phone (504) 264-9353.Contact Information
Primary practice address
4228 Houma Blvd Suite 220
Metairie LA 70006-3000
Phone: (504) 264-9353
Fax: (504) 301-9312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD.201551 | Louisiana |
Profile Details
| NPI number | 1942491394 |
|---|---|
| LBN Legal business name | Jacob, Ryan Andre |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2007 |
| Last updated | Sep 22nd, 2011 - about 14 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 | 1942491394 | NPPES |
| Louisiana | MEDICAID | 2160613 |
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