Gros, Bryan Joseph

Gros, Bryan Joseph is an individual health care provider with primary practice located at 4615 Government St Bldg 2 , Baton Rouge LA 70806-5820. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Gros, Bryan Joseph can be contacted via phone (225) 922-2656.

Contact Information

Primary practice address
4615 Government St Bldg 2 Baton Rouge LA 70806-5820
Phone: (225) 922-2656
Fax: (225) 922-0068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 748 Louisiana

Profile Details

NPI number 1649330796
LBN Legal business name Gros, Bryan Joseph
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Aug 31st, 2009 - about 16 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 1649330796 NPPES
Louisiana MEDICAID 1542733

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