King, Brunette Marie

King, Brunette Marie is an sole proprietor health care provider with primary practice located at 516 Weeks St Brunette King Blue Clinic Apmc, New Iberia LA 70560. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. King, Brunette Marie can be contacted via phone (150) 823-2048.

Contact Information

Primary practice address
516 Weeks St Brunette King Blue Clinic Apmc New Iberia LA 70560
Phone: (150) 823-2048
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 121588 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 03634R Louisiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 03634R Louisiana

Profile Details

NPI number 1710900642
LBN Legal business name King, Brunette Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Nov 24th, 2010 - 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 1710900642 NPPES
Louisiana MEDICAID 1192911

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