Moore, Jamie Elizabeth

Moore, Jamie Elizabeth is an individual health care provider with primary practice located at 100 Medical Center Dr , Slidell LA 70461-5520. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Moore, Jamie Elizabeth can be contacted via phone (985) 871-0490.

Contact Information

Primary practice address
100 Medical Center Dr Slidell LA 70461-5520
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 14891R Louisiana

Profile Details

NPI number 1609819242
LBN Legal business name Moore, Jamie Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 8th, 2007 - about 19 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 1609819242 NPPES
Louisiana MEDICAID 1196851

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