Provider Demographics
NPI:1619383569
Name:MICHOT, EFFIE (LM)
Entity type:Individual
Prefix:
First Name:EFFIE
Middle Name:
Last Name:MICHOT
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3917 URQUHART ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70117-5257
Mailing Address - Country:US
Mailing Address - Phone:337-654-3253
Mailing Address - Fax:
Practice Address - Street 1:3917 URQUHART ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117-5257
Practice Address - Country:US
Practice Address - Phone:337-654-3253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMDW200010175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay