Cross, Bryan

Cross, Bryan is an sole proprietor health care provider with primary practice located at 2495 Shreveport Hwy (Va Medical Center) Mail Code 112, Pineville LA 71360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Cross, Bryan can be contacted via phone (318) 466-4034.

Contact Information

Primary practice address
2495 Shreveport Hwy (Va Medical Center) Mail Code 112 Pineville LA 71360
Phone: (318) 466-4034
Fax: (575) 397-1012
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X A-2048-17 New Mexico

Profile Details

NPI number 1245640291
LBN Legal business name Cross, Bryan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2014
Last updated Jun 24th, 2020 - about 4 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 1245640291 NPPES
New Mexico MEDICAID 000B4739

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