Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD.208182 | LA |
Y | 208600000X | Surgeon | MD.208182 | LA |
N | 2086S0102X | Surgical Critical Care | MD.208182 | LA |
N | 2086S0127X | Trauma Surgeon | MD.208182 | LA |
NPI | 1346683356 |
---|---|
Provider Name | Dr. Jonathan Edward Schoen |
First Address | Jefferson, LA 70121 |
Second Address | Jefferson, LA 70121-2429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2013 |
Last Update Date | 21/07/2020 |