Brown, Walter Dwayne

Brown, Walter Dwayne is an individual health care provider with primary practice located at 155 Hospital Dr Ste 206, Lafayette LA 70503-2852. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Brown, Walter Dwayne can be contacted via phone (337) 234-3204.

Contact Information

Primary practice address
155 Hospital Dr Ste 206 Lafayette LA 70503-2852
Phone: (337) 234-3204
Fax: (337) 234-3599
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 07368R Louisiana
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 07368R Louisiana

Profile Details

NPI number 1053305482
LBN Legal business name Brown, Walter Dwayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Dec 6th, 2012 - about 13 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 1053305482 NPPES
Louisiana MEDICAID 1929255

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