Jackson, Amanda Ann Brown
Jackson, Amanda Ann Brown is an sole proprietor health care provider with primary practice located at 200 Henry Clay Ave , New Orleans LA 70118-5798. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jackson, Amanda Ann Brown can be contacted via phone (504) 896-9827.Contact Information
Primary practice address
200 Henry Clay Ave
New Orleans LA 70118-5798
Phone: (504) 896-9827
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD200328 | Louisiana |
Profile Details
| NPI number | 1710964564 |
|---|---|
| LBN Legal business name | Jackson, Amanda Ann Brown |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Aug 14th, 2019 - about 7 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 | 1710964564 | NPPES |
| Louisiana | MEDICAID | 1626503 | |
| Louisiana | MEDICAID | 08837202 |
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