Hathorn, Bryan Smith
Hathorn, Bryan Smith is an individual health care provider with primary practice located at 7777 Hennessy Blvd Suite 1000, Baton Rouge LA 70808-4300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Hathorn, Bryan Smith can be contacted via phone (225) 767-3900.Contact Information
Primary practice address
7777 Hennessy Blvd Suite 1000
Baton Rouge LA 70808-4300
Phone: (225) 767-3900
Fax: (225) 766-2226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 14857R | Louisiana |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 14857R | Louisiana |
Profile Details
| NPI number | 1235131269 |
|---|---|
| LBN Legal business name | Hathorn, Bryan Smith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Mar 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235131269 | NPPES |
| Louisiana | Other | 5355641 | AETNA |
| Louisiana | Other | 232799 | AETNA |
| Louisiana | Other | 2500911 | AETNA |
| Louisiana | Other | 060070427 | AETNA |
| Louisiana | MEDICAID | 1149551 | AETNA |
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