Koller Gorham, Jessica Soumee
Koller Gorham, Jessica Soumee is an individual health care provider with primary practice located at 1514 Jefferson Hwy , New Orleans LA 70121. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Koller Gorham, Jessica Soumee can be contacted via phone (504) 842-0663.Contact Information
Primary practice address
1514 Jefferson Hwy
New Orleans LA 70121
Phone: (504) 842-0663
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 18252 | New Hampshire |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 310247 | Louisiana |
Profile Details
| NPI number | 1538428974 |
|---|---|
| LBN Legal business name | Koller Gorham, Jessica Soumee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2012 |
| Last updated | Sep 21st, 2018 - about 8 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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