Conroy, Brendan
Conroy, Brendan is an individual health care provider with primary practice located at 4801 Ambassador Caffery Pkwy , Lafayette LA 70508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Conroy, Brendan can be contacted via phone (337) 470-2605.Contact Information
Primary practice address
4801 Ambassador Caffery Pkwy
Lafayette LA 70508
Phone: (337) 470-2605
Fax: (337) 470-4595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD18859 | District of Columbia |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 310000 | Louisiana |
Profile Details
| NPI number | 1134136492 |
|---|---|
| LBN Legal business name | Conroy, Brendan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jul 10th, 2018 - about 7 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 | 1134136492 | NPPES |
| District of Columbia | MEDICAID | 024038600 | |
| District of Columbia | Other | 4384446 | |
| District of Columbia | Other | 5460-0037 | |
| District of Columbia | Other | 252153 | |
| District of Columbia | Other | 1052462 | |
| District of Columbia | Other | 112523 | |
| District of Columbia | MEDICAID | 161381200 | |
| District of Columbia | Other | 4384525 | |
| District of Columbia | Other | 5460-0102 | |
| District of Columbia | Other | 603962-01 | |
| District of Columbia | Other | 250007826 | |
| District of Columbia | Other | DCA0018859 | |
| District of Columbia | Other | 325793 | |
| District of Columbia | Other | 494972 | |
| District of Columbia | Other | 814510 | |
| District of Columbia | Other | 489391005 |
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