Montegudo, Jessica R

Montegudo, Jessica R is an individual health care provider with primary practice located at 2005 Veterans Memorial Blvd , Metairie LA 70002-6320. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Montegudo, Jessica R can be contacted via phone (504) 836-9820.

Contact Information

Primary practice address
2005 Veterans Memorial Blvd Metairie LA 70002-6320
Phone: (504) 836-9820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.013823 Louisiana

Profile Details

NPI number 1700830585
LBN Legal business name Montegudo, Jessica R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Aug 12th, 2010 - about 16 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 1700830585 NPPES
Mississippi MEDICAID 00125007
Mississippi MEDICAID 1304760

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