Jeansonne, Richard Michael

Jeansonne, Richard Michael is an individual health care provider with primary practice located at 521 Asbury Drive , Mandeville LA 70471. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jeansonne, Richard Michael can be contacted via phone (985) 630-9618.

Contact Information

Primary practice address
521 Asbury Drive Mandeville LA 70471
Phone: (985) 630-9618
Fax: (985) 231-7010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18605 Mississippi
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.025708 Louisiana

Profile Details

NPI number 1467468447
LBN Legal business name Jeansonne, Richard Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Mar 17th, 2018 - 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 1467468447 NPPES
Mississippi MEDICAID 09702861
Mississippi MEDICAID 1048585

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