Brian, Clarence Verne
Brian, Clarence Verne is an individual health care provider with primary practice located at 16777 Medical Center Dr , Baton Rouge LA 70816-3254. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brian, Clarence Verne can be contacted via phone (225) 926-7200.Contact Information
Primary practice address
16777 Medical Center Dr
Baton Rouge LA 70816-3254
Phone: (225) 926-7200
Fax: (225) 952-8502
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 677-215T | Louisiana |
Profile Details
NPI number | 1154486553 |
---|---|
LBN Legal business name | Brian, Clarence Verne |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 26th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154486553 | NPPES |
Louisiana | MEDICAID | 1087921 |
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