Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 47948 | TN |
Y | 208200000X | Surgeon | 321432 | LA |
Y | 208600000X | Surgeon | 321432 | LA |
N | 208200000X | Surgeon | 47948 | TN |
N | 208600000X | Surgeon | 47948 | TN |
NPI | 1366657793 |
---|---|
Provider Name | Dr. Jacob Emile Dowden |
First Address | New Orleans, LA 70121-2429 |
Second Address | Kenner, LA 70065-2473 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 08/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003163304A | (05) | GA |
174605 | (05) | AL |
P01476784 | PTAN (01) | TN |
Q013834 | (05) | TN |