Bryan, Anne B
Bryan, Anne B is an individual health care provider with primary practice located at 9007 Ellerbe Rd , Shreveport LA 71106-6724. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Bryan, Anne B can be contacted via phone (318) 222-3278.Contact Information
Primary practice address
9007 Ellerbe Rd
Shreveport LA 71106-6724
Phone: (318) 222-3278
Fax: (318) 424-3155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G22563 | Louisiana |
Profile Details
| NPI number | 1255314415 |
|---|---|
| LBN Legal business name | Bryan, Anne B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Mar 16th, 2012 - about 12 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 | 1255314415 | NPPES |
| Louisiana | MEDICAID | 1490504 |
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