Vesa, Telciane
Vesa, Telciane is an sole proprietor health care provider with primary practice located at 1860 Chadwick Dr Ste 351 , Jackson MS 39204-3472. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Vesa, Telciane can be contacted via phone (601) 376-1288.Contact Information
Primary practice address
1860 Chadwick Dr Ste 351
Jackson MS 39204-3472
Phone: (601) 376-1288
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 2014015595 | Missouri |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 074924 | Georgia |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 21204 | Mississippi |
Profile Details
| NPI number | 1295932168 |
|---|---|
| LBN Legal business name | Vesa, Telciane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2007 |
| Last updated | Mar 25th, 2021 - about 3 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 | 1295932168 | NPPES |
| Missouri | MEDICAID | 1295932168 | |
| Missouri | MEDICAID | 08278258 |
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