Giarrusso, Brad C

Giarrusso, Brad C is an individual health care provider with primary practice located at 6516 E Myrtle Ave , Baker LA 70714-4348. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Giarrusso, Brad C can be contacted via phone (225) 765-5500.

Contact Information

Primary practice address
6516 E Myrtle Ave Baker LA 70714-4348
Fax: (225) 774-5432
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 026403 Louisiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 026403 Louisiana

Profile Details

NPI number 1104844455
LBN Legal business name Giarrusso, Brad C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jan 8th, 2021 - about 3 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 1104844455 NPPES
Louisiana MEDICAID 1065421

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