Roussell, Ebony
Roussell, Ebony is an sole proprietor health care provider with primary practice located at 931 Carmadelle St , Marrero LA 70072-2641. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Roussell, Ebony can be contacted via phone (504) 510-7951.Contact Information
Primary practice address
931 Carmadelle St
Marrero LA 70072-2641
Phone: (504) 510-7951
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | Louisiana |
Profile Details
| NPI number | 1598262883 |
|---|---|
| LBN Legal business name | Roussell, Ebony |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2018 |
| Last updated | Apr 12th, 2018 - about 6 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 | 1598262883 | NPPES |
| Louisiana | MEDICAID | 825114453 |
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