Forsyth, Bradley Keith

Forsyth, Bradley Keith is an individual health care provider with primary practice located at 1890 W Gauthier Rd Ste 140 , Lake Charles LA 70605-7179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Forsyth, Bradley Keith can be contacted via phone (337) 480-5570.

Contact Information

Primary practice address
1890 W Gauthier Rd Ste 140 Lake Charles LA 70605-7179
Phone: (337) 480-5570
Fax: (337) 480-5581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 202315 Louisiana

Profile Details

NPI number 1750410981
LBN Legal business name Forsyth, Bradley Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Apr 27th, 2022 - about 2 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 1750410981 NPPES
Louisiana Other MD.202315 STATE MEDICAL LICENSE
Louisiana MEDICAID 1196754 STATE MEDICAL LICENSE

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