Decosta, Brian Richard

Decosta, Brian Richard is an individual health care provider with primary practice located at 367 Hospital Blvd , Jackson TN 38305-2080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Decosta, Brian Richard can be contacted via phone (731) 300-0352.

Contact Information

Primary practice address
367 Hospital Blvd Jackson TN 38305-2080
Phone: (731) 300-0352
Fax: (901) 753-2896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 36602 Tennessee

Profile Details

NPI number 1689620627
LBN Legal business name Decosta, Brian Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
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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