Peterson, Brian Wade
Peterson, Brian Wade is an individual health care provider with primary practice located at 3800 Houma Blvd Suite 205, Metairie LA 70006-4182. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Peterson, Brian Wade can be contacted via phone (504) 885-7337.Contact Information
Primary practice address
3800 Houma Blvd Suite 205
Metairie LA 70006-4182
Phone: (504) 885-7337
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD.205229 | Louisiana |
Profile Details
NPI number | 1639330996 |
---|---|
LBN Legal business name | Peterson, Brian Wade |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 19th, 2008 |
Last updated | Oct 15th, 2013 - about 11 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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