Guillot, Jacqueline Provosty

Guillot, Jacqueline Provosty is an individual health care provider with primary practice located at 717 N Beau Chene Dr , Mandeville LA 70471-1615. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Guillot, Jacqueline Provosty can be contacted via phone (985) 966-4405.

Contact Information

Primary practice address
717 N Beau Chene Dr Mandeville LA 70471-1615
Phone: (985) 966-4405
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.09243R Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.09243R Louisiana

Profile Details

NPI number 1265867568
LBN Legal business name Guillot, Jacqueline Provosty
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2013
Last updated Sep 5th, 2013 - about 13 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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