Cicero, Brian Louis

Cicero, Brian Louis is an individual health care provider with primary practice located at 9103 Jefferson Hwy , Baton Rouge LA 70809-2440. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Cicero, Brian Louis can be contacted via phone (225) 927-1190.

Contact Information

Primary practice address
9103 Jefferson Hwy Baton Rouge LA 70809-2440
Phone: (225) 927-1190
Fax: (225) 706-0160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN088663 Louisiana

Profile Details

NPI number 1295719862
LBN Legal business name Cicero, Brian Louis
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated May 6th, 2014 - about 10 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 1295719862 NPPES
Louisiana MEDICAID 1109886
Louisiana Other P00018897

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