| E Taylor Aultman Jr Inc | |
|
744 Dante St New Orleans LA 70118-1014 | |
| (504) 866-3003 | |
| (504) 866-8336 |
| Full Name | E Taylor Aultman Jr Inc |
|---|---|
| Speciality | Social Worker |
| Location | 744 Dante St, New Orleans, Louisiana |
| Authorized Official Name and Position | Everett Taylor Aultman (PRESIDENT OWNER) |
| Authorized Official Contact | 5048663003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E Taylor Aultman Jr Inc 744 Dante St New Orleans LA 70118-1014 Ph: (504) 866-3003 | E Taylor Aultman Jr Inc 744 Dante St New Orleans LA 70118-1014 Ph: (504) 866-3003 |
| NPI Number | 1407817638 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 01/28/2008 |
| Medicare PECOS PAC ID | 5496826497 |
|---|---|
| Medicare Enrollment ID | O20080619000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407817638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 953LCSW (Louisiana) | Primary |
| Provider Name | Everett Taylor Aultman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710145511 PECOS PAC ID: 0042261695 Enrollment ID: I20050201000792 |
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