Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 025654 | LA |
N | 2080P0208X | Pediatric Infectious Diseases | 025654 | LA |
NPI | 1194995936 |
---|---|
Provider Name | John Scribner Schieffelin |
First Address | New Orleans, LA 70112-2615 |
Second Address | New Orleans, LA 70112-2615 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2008 |
Last Update Date | 09/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1047937 | (05) | LA |