Brown, Everett Wade

Brown, Everett Wade is an sole proprietor health care provider with primary practice located at 2600 Belle Chasse Hwy. Ste. B-2 B-2, Gretna LA 70056. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Brown, Everett Wade can be contacted via phone (504) 349-2273.

Contact Information

Primary practice address
2600 Belle Chasse Hwy. Ste. B-2 B-2 Gretna LA 70056
Phone: (504) 349-2273
Fax: (504) 349-6160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 025610 Louisiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 025610 Louisiana

Profile Details

NPI number 1548255979
LBN Legal business name Brown, Everett Wade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2005
Last updated Jan 26th, 2021 - about 3 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 1548255979 NPPES
Louisiana Other 025610 STATE LICENSE
Louisiana MEDICAID 1042935 STATE LICENSE

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