Dillon, Brian T

Dillon, Brian T is an individual health care provider with primary practice located at 2600 Greenwood Rd , Shreveport LA 71103-3908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dillon, Brian T can be contacted via phone (318) 212-4500.

Contact Information

Primary practice address
2600 Greenwood Rd Shreveport LA 71103-3908
Fax: (318) 212-4143
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 13407R Louisiana

Profile Details

NPI number 1114919362
LBN Legal business name Dillon, Brian T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jul 8th, 2007 - about 18 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 1114919362 NPPES
Louisiana MEDICAID 1428485

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