Mills, Bryan Haywood
Mills, Bryan Haywood is an individual health care provider with primary practice located at 7225 Fern Ave , Shreveport LA 71105-4969. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mills, Bryan Haywood can be contacted via phone (318) 629-3630.Contact Information
Primary practice address
7225 Fern Ave
Shreveport LA 71105-4969
Phone: (318) 629-3630
Fax: (318) 629-3640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 04385R | Louisiana |
Profile Details
| NPI number | 1407845266 |
|---|---|
| LBN Legal business name | Mills, Bryan Haywood |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1407845266 | NPPES |
| Louisiana | MEDICAID | 1989088 |
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