Granger, Brian K

Granger, Brian K is an individual health care provider with primary practice located at 201 W Gloria Switch Rd Suite I, Lafayette LA 70507-2590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Granger, Brian K can be contacted via phone (337) 565-6012.

Contact Information

Primary practice address
201 W Gloria Switch Rd Suite I Lafayette LA 70507-2590
Phone: (337) 565-6012
Fax: (337) 565-6014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 022624 Louisiana

Profile Details

NPI number 1487658274
LBN Legal business name Granger, Brian K
Credentials M.D.05
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 8th, 2007 - about 17 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 1487658274 NPPES
Louisiana MEDICAID 1491314

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