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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1669070769 NPPES
Louisiana MEDICAID 2541668

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