Brown, Gary Ross
Brown, Gary Ross is an individual health care provider with primary practice located at 1011 S Tyler St , Covington LA 70433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Brown, Gary Ross can be contacted via phone (985) 893-2620.Contact Information
Primary practice address
1011 S Tyler St
Covington LA 70433
Phone: (985) 893-2620
Fax: (985) 893-3050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD02912R | Louisiana |
Profile Details
| NPI number | 1366418881 |
|---|---|
| LBN Legal business name | Brown, Gary Ross |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1366418881 | NPPES |
| Louisiana | MEDICAID | 1132896 |
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