Jamison-Blair, Diane Elizabeth
Jamison-Blair, Diane Elizabeth is an individual health care provider with primary practice located at 8001 Youree Dr Ste 4007 , Shreveport LA 71115-2302. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Jamison-Blair, Diane Elizabeth can be contacted via phone (318) 212-3821.Contact Information
Primary practice address
8001 Youree Dr Ste 4007
Shreveport LA 71115-2302
Phone: (318) 212-3821
Fax: (318) 212-3825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L6076 | Texas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | L6076 | Texas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD.021974 | Louisiana |
Profile Details
| NPI number | 1396712063 |
|---|---|
| LBN Legal business name | Jamison-Blair, Diane Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Jun 17th, 2021 - about 5 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 | 1396712063 | NPPES |
| Texas | Other | P00005091 | RR MEDICARE |
| Texas | MEDICAID | 157381801 | RR MEDICARE |
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