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:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1285836858 | NPPES |
| Louisiana | MEDICAID | 1682331 |
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