Mcnulty, Michael Jesse

Mcnulty, Michael Jesse is an individual health care provider with primary practice located at 3800 Houma Boulevard Suite 200, Metairie LA 70006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mcnulty, Michael Jesse can be contacted via phone (504) 897-6351.

Contact Information

Primary practice address
3800 Houma Boulevard Suite 200 Metairie LA 70006
Phone: (504) 897-6351
Fax: (504) 899-7317
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD203982 Louisiana

Profile Details

NPI number 1295938892
LBN Legal business name Mcnulty, Michael Jesse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2007
Last updated Sep 25th, 2012 - about 13 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 1295938892 NPPES
Other BP2-0017768 INSTITUTIONAL PERMIT

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