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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295932168 NPPES
Missouri MEDICAID 1295932168
Missouri MEDICAID 08278258

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