Bergeron, Brennan

Bergeron, Brennan is an individual health care provider with primary practice located at 2829 4Th Ave Ste 150 , Lake Charles LA 70601-7897. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Bergeron, Brennan can be contacted via phone (337) 480-7800.

Contact Information

Primary practice address
2829 4Th Ave Ste 150 Lake Charles LA 70601-7897
Phone: (337) 480-7800
Fax: (337) 474-4552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 221848 Louisiana

Profile Details

NPI number 1982370045
LBN Legal business name Bergeron, Brennan
Credentials APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2021
Last updated Feb 3rd, 2022 - about 2 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 1982370045 NPPES
Louisiana MEDICAID 2572458

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