Poole, Jeffrey C.

Poole, Jeffrey C. is an sole proprietor health care provider with primary practice located at 111 Veterans Memorial Blvd Suite #406, Metairie LA 70005-3028. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Poole, Jeffrey C. can be contacted via phone (504) 838-8225.

Contact Information

Primary practice address
111 Veterans Memorial Blvd Suite #406 Metairie LA 70005-3028
Phone: (504) 838-8225
Fax: (504) 838-8233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD.021909 Louisiana
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X MD.021909 Louisiana

Profile Details

NPI number 1518042134
LBN Legal business name Poole, Jeffrey C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Jul 8th, 2007 - about 18 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 1518042134 NPPES
Louisiana MEDICAID 1576387

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