Brasuell, Todd Stephen

Brasuell, Todd Stephen is an individual health care provider with primary practice located at 71107 Highway 21 Suite 2, Covington LA 70433-7243. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Brasuell, Todd Stephen can be contacted via phone (985) 892-5942.

Contact Information

Primary practice address
71107 Highway 21 Suite 2 Covington LA 70433-7243
Phone: (985) 892-5942
Fax: (985) 892-8996
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 5550 Louisiana

Profile Details

NPI number 1679585392
LBN Legal business name Brasuell, Todd Stephen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679585392 NPPES
Louisiana MEDICAID 1855502

Popular Providers