Eldredge, Brytton A.
Eldredge, Brytton A. is an sole proprietor health care provider with primary practice located at 109 Rue Fountaine , Lafayette LA 70508-5744. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Eldredge, Brytton A. can be contacted via phone (337) 266-9820.Contact Information
Primary practice address
109 Rue Fountaine
Lafayette LA 70508-5744
Phone: (337) 266-9820
Fax: (337) 266-9822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 024100 | Louisiana |
Profile Details
| NPI number | 1265480503 |
|---|---|
| LBN Legal business name | Eldredge, Brytton A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Feb 3rd, 2016 - about 8 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 | 1265480503 | NPPES |
| Louisiana | MEDICAID | 48901 |
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