Comeaux, Bradley

Comeaux, Bradley is an sole proprietor health care provider with primary practice located at 4607 Sherwood Common Blvd Ste 100, Baton Rouge LA 70816-4295. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Comeaux, Bradley can be contacted via phone (225) 924-6622.

Contact Information

Primary practice address
4607 Sherwood Common Blvd Ste 100 Baton Rouge LA 70816-4295
Phone: (225) 924-6622
Fax: (225) 926-3384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 3597 Louisiana

Profile Details

NPI number 1225149917
LBN Legal business name Comeaux, Bradley
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Mar 17th, 2014 - about 11 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 1225149917 NPPES
Louisiana MEDICAID 1853976

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