Jacob, Leah Gonsoulin

Jacob, Leah Gonsoulin is an individual health care provider with primary practice located at 3421 N Causeway Blvd Ste 202 , Metairie LA 70002-3759. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Jacob, Leah Gonsoulin can be contacted via phone (504) 832-6612.

Contact Information

Primary practice address
3421 N Causeway Blvd Ste 202 Metairie LA 70002-3759
Phone: (504) 832-6612
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD.205516 Louisiana

Profile Details

NPI number 1902047988
LBN Legal business name Jacob, Leah Gonsoulin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2009
Last updated Nov 19th, 2024 - about 2 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 1902047988 NPPES
Louisiana MEDICAID 1977161

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