Jasper, Ivan T
Jasper, Ivan T is an individual health care provider with primary practice located at 3801 Canal St , New Orleans LA 70119-6082. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Jasper, Ivan T can be contacted via phone (504) 483-7243.Contact Information
Primary practice address
3801 Canal St
New Orleans LA 70119-6082
Phone: (504) 483-7243
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1265707947 |
|---|---|
| LBN Legal business name | Jasper, Ivan T |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2012 |
| Last updated | Mar 15th, 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 | 1265707947 | NPPES |
| Louisiana | MEDICAID | 721447520 |
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