Jessie, Elliot Michael
Jessie, Elliot Michael is an individual health care provider with primary practice located at 1514 Jefferson Hwy , New Orleans LA 70121-2429. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Jessie, Elliot Michael can be contacted via phone (504) 842-4070.Contact Information
Primary practice address
1514 Jefferson Hwy
New Orleans LA 70121-2429
Phone: (504) 842-4070
Fax: (504) 842-3124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101235183 | Virginia |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | D0068876 | Maryland |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | D0068876 | Maryland |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 338699 | Louisiana |
Profile Details
| NPI number | 1417921735 |
|---|---|
| LBN Legal business name | Jessie, Elliot Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Sep 22nd, 2023 - about last year |
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 | 1417921735 | NPPES |
| Maryland | MEDICAID | 417757600 |
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