Jessie, Elliot Michael

Jessie, Elliot Michael is an individual health care provider with primary practice located at 1514 Jefferson Hwy , New Orleans LA 70121-2429. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Jessie, Elliot Michael can be contacted via phone (504) 842-4070.

Contact Information

Primary practice address
1514 Jefferson Hwy New Orleans LA 70121-2429
Phone: (504) 842-4070
Fax: (504) 842-3124
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101235183 Virginia
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X D0068876 Maryland
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X D0068876 Maryland
Allopathic & Osteopathic Physicians / Surgery 208600000X 338699 Louisiana

Profile Details

NPI number 1417921735
LBN Legal business name Jessie, Elliot Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Sep 22nd, 2023 - about 3 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 1417921735 NPPES
Maryland MEDICAID 417757600

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