Bryn, Randy D
Bryn, Randy D is an individual health care provider with primary practice located at 2551 Greenwood Rd Ste 210, Shreveport LA 71103-3905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Bryn, Randy D can be contacted via phone (318) 635-0834.Contact Information
Primary practice address
2551 Greenwood Rd Ste 210
Shreveport LA 71103-3905
Phone: (318) 635-0834
Fax: (318) 636-2331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 03907R | Louisiana |
Profile Details
| NPI number | 1851497275 |
|---|---|
| LBN Legal business name | Bryn, Randy D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jun 21st, 2021 - about 3 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 | 1851497275 | NPPES |
| Louisiana | MEDICAID | 1311189 | |
| Louisiana | Other | 290003340 |
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