Wetsman, Ellie Fox

Wetsman, Ellie Fox is an individual health care provider with primary practice located at 200 Henry Clay Ave , New Orleans LA 70118-5720. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Child Abuse Pediatrics is her primary health care specialty. Wetsman, Ellie Fox can be contacted via phone (504) 896-9236.

Contact Information

Primary practice address
200 Henry Clay Ave New Orleans LA 70118-5720
Phone: (504) 896-9236
Fax: (504) 894-8744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11725R Louisiana
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X 11725R Louisiana

Profile Details

NPI number 1285836858
LBN Legal business name Wetsman, Ellie Fox
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Jan 28th, 2014 - about 10 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 1285836858 NPPES
Louisiana MEDICAID 1682331

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