Harrell, Brian Richard

Harrell, Brian Richard is an individual health care provider with primary practice located at 1525 Oak Park Blvd , Lake Charles LA 70601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Harrell, Brian Richard can be contacted via phone (377) 494-6767.

Contact Information

Primary practice address
1525 Oak Park Blvd Lake Charles LA 70601
Phone: (377) 494-6767
Fax: (337) 494-6750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD.201393 Louisiana

Profile Details

NPI number 1770613705
LBN Legal business name Harrell, Brian Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Apr 27th, 2022 - about 2 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 1770613705 NPPES
Louisiana MEDICAID 1501204
Louisiana Other MD.201393

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