Anthony, Brian Thomas

Anthony, Brian Thomas is an individual health care provider with primary practice located at 833 Highway 90 Ste 1 , Bay St Louis MS 39520-1601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Anthony, Brian Thomas can be contacted via phone (228) 575-2920.

Contact Information

Primary practice address
833 Highway 90 Ste 1 Bay St Louis MS 39520-1601
Phone: (228) 575-2920
Fax: (228) 466-4677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 14843 Mississippi

Profile Details

NPI number 1356349401
LBN Legal business name Anthony, Brian Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Apr 14th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356349401 NPPES
Mississippi Other 09015599 GROUP MEDICAID NUMBER: TAX ID 64-093424
Mississippi MEDICAID 00116990 GROUP MEDICAID NUMBER: TAX ID 64-093424

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