Bryan G Frentz - A Professional Medical Corporation

LBN: Bryan G Frentz - A Professional Medical Corporation
Bryan G Frentz - A Professional Medical Corporation is an health care organization with primary practice located at 1151 Marguerite St Suite 700 B, Morgan City LA 70380-1850. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Medical Specialty, Suppliers / Non-Pharmacy Dispensing Site. Suppliers / Non-Pharmacy Dispensing Site is the primary health care specialty. Bryan G Frentz - A Professional Medical Corporation can be contacted via phone (985) 221-4320, or through Frentz, Tracy via phone (337) 254-9980.

Contact Information

Primary practice address
1151 Marguerite St Suite 700 B Morgan City LA 70380-1850
Fax:
Website:
Authorized official contact:
Name: Frentz, Tracy

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X MD.024773 Louisiana
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1295261519
LBN Legal business name Bryan G Frentz - A Professional Medical Corporation
DBA Doing business as
Authorized official Frentz, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2017
Last updated Mar 12th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295261519 NPPES
Other 7633960001 MEDICARE NSC

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