Gilmore, Brandi Nichole
Gilmore, Brandi Nichole is an individual health care provider with primary practice located at 4608 Highway 1 , Raceland LA 70394-2623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Gilmore, Brandi Nichole can be contacted via phone (985) 537-2273.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD.201388 | Louisiana |
Profile Details
| NPI number | 1164627824 |
|---|---|
| LBN Legal business name | Gilmore, Brandi Nichole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2007 |
| Last updated | Dec 6th, 2010 - about 14 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 | 1164627824 | NPPES |
| Mississippi | MEDICAID | 08274835 | |
| Mississippi | MEDICAID | 1506877 |
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