Brannan, Michael Bivens
Brannan, Michael Bivens is an individual health care provider with primary practice located at 3217 Mabel St , Shreveport LA 71103-4022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Brannan, Michael Bivens can be contacted via phone (318) 631-9121.Contact Information
Primary practice address
3217 Mabel St
Shreveport LA 71103-4022
Phone: (318) 631-9121
Fax: (318) 631-9688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 04481R | Louisiana |
Profile Details
| NPI number | 1861495822 |
|---|---|
| LBN Legal business name | Brannan, Michael Bivens |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Mar 31st, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861495822 | NPPES |
| Louisiana | MEDICAID | 1195839 |
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