Bolwahnn, Bryan L
Bolwahnn, Bryan L is an individual health care provider with primary practice located at 100 Gayven Dr , Ball LA 71405-4903. He recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as his primary health care specialty. Bolwahnn, Bryan L can be contacted via phone (318) 641-0444.Contact Information
Primary practice address
100 Gayven Dr
Ball LA 71405-4903
Phone: (318) 641-0444
Fax: (318) 641-6118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X | 926MPAP | Louisiana |
Profile Details
| NPI number | 1043247331 |
|---|---|
| LBN Legal business name | Bolwahnn, Bryan L |
| Credentials | PHD, M.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Oct 9th, 2013 - about 13 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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