Brandt, Gary

Brandt, Gary is an sole proprietor health care provider with primary practice located at 9422 Scotland Ave , Baton Rouge LA 70807-3951. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Brandt, Gary can be contacted via phone (225) 774-1822.

Contact Information

Primary practice address
9422 Scotland Ave Baton Rouge LA 70807-3951
Phone: (225) 774-1822
Fax: (225) 774-1836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 017647 Louisiana

Profile Details

NPI number 1255331450
LBN Legal business name Brandt, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2005
Last updated Oct 13th, 2009 - about 16 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 1255331450 NPPES
Louisiana Other 4331551460 BLUE CROSS
Louisiana Other 930114663 BLUE CROSS
Louisiana MEDICAID 1359670 BLUE CROSS

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