Breaux, Darrin Mark

Breaux, Darrin Mark is an individual health care provider with primary practice located at 8888 Summa Ave , Baton Rouge LA 70809-3772. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Breaux, Darrin Mark can be contacted via phone (225) 769-0933.

Contact Information

Primary practice address
8888 Summa Ave Baton Rouge LA 70809-3772
Fax: (225) 769-6255
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 022557 Louisiana

Profile Details

NPI number 1902807167
LBN Legal business name Breaux, Darrin Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Apr 27th, 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 1902807167 NPPES
Louisiana MEDICAID 1483281

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