Bruhn, Matthew
Bruhn, Matthew is an individual health care provider with primary practice located at 15813 Paul Vega Md Dr Ste 100 , Hammond LA 70403-1431. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bruhn, Matthew can be contacted via phone (985) 230-2663.Contact Information
Primary practice address
15813 Paul Vega Md Dr Ste 100
Hammond LA 70403-1431
Phone: (985) 230-2663
Fax: (985) 230-2665
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 324782 | Louisiana |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1179318 | Louisiana |
Profile Details
NPI number | 1669070769 |
---|---|
LBN Legal business name | Bruhn, Matthew |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 12th, 2020 |
Last updated | May 22nd, 2024 - about 7 months 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 | 1669070769 | NPPES |
Louisiana | MEDICAID | 2541668 |
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