Wilson, Melanie Moore
Wilson, Melanie Moore is an individual health care provider with primary practice located at 1514 Jefferson Hwy , New Orleans LA 70121-2429. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Wilson, Melanie Moore can be contacted via phone (504) 842-3915.Contact Information
Primary practice address
1514 Jefferson Hwy
New Orleans LA 70121-2429
Phone: (504) 842-3915
Fax: (504) 842-2036
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | MD.207226 | Louisiana |
Profile Details
| NPI number | 1346414877 |
|---|---|
| LBN Legal business name | Wilson, Melanie Moore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2008 |
| Last updated | Oct 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346414877 | NPPES |
| Louisiana | MEDICAID | 2372262 |
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