Collette, Bryan Joseph

Collette, Bryan Joseph is an sole proprietor health care provider with primary practice located at 1510 Rees St , Breaux Bridge LA 70517-4310. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Collette, Bryan Joseph can be contacted via phone (337) 332-2730.

Contact Information

Primary practice address
1510 Rees St Breaux Bridge LA 70517-4310
Phone: (337) 332-2730
Fax: (337) 332-2711
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X 34289 Louisiana

Profile Details

NPI number 1396913224
LBN Legal business name Collette, Bryan Joseph
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2008
Last updated Apr 25th, 2008 - about 16 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 1396913224 NPPES
Louisiana Other 1353345 TYPE 15 MEDICAID
Louisiana MEDICAID 1001848 TYPE 15 MEDICAID

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