George, Bryant Gerard

George, Bryant Gerard is an sole proprietor health care provider with primary practice located at 1611 Foster St , Lake Charles LA 70601-5815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. George, Bryant Gerard can be contacted via phone (337) 436-7560.

Contact Information

Primary practice address
1611 Foster St Lake Charles LA 70601-5815
Fax: (337) 433-9861
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 018940 Louisiana

Profile Details

NPI number 1083772883
LBN Legal business name George, Bryant Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Mar 5th, 2009 - about 15 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 1083772883 NPPES
Louisiana MEDICAID 1378356

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