Leatherman, Bryan David

Leatherman, Bryan David is an individual health care provider with primary practice located at 1213 Broad Ave Suite 4, Gulfport MS 39501-2475. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngic Allergy. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Leatherman, Bryan David can be contacted via phone (228) 864-2121.

Contact Information

Primary practice address
1213 Broad Ave Suite 4 Gulfport MS 39501-2475
Phone: (228) 864-2121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 17564 Mississippi
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X 17564 Mississippi

Profile Details

NPI number 1154367738
LBN Legal business name Leatherman, Bryan David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 8th, 2007 - about 18 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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