Pettiford, Brian L
Pettiford, Brian L is an individual health care provider with primary practice located at 1514 Jefferson Hwy , New Orleans LA 70121-2429. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Pettiford, Brian L can be contacted via phone (504) 842-3966.Contact Information
Primary practice address
1514 Jefferson Hwy
New Orleans LA 70121-2429
Phone: (504) 842-3966
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD417309 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD417309 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD206806 | Louisiana |
Profile Details
| NPI number | 1255306783 |
|---|---|
| LBN Legal business name | Pettiford, Brian L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Mar 2nd, 2015 - about 9 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 | 1255306783 | NPPES |
| Pennsylvania | Other | 20091811 | AMERIHEALTH MERCY-WMG |
| Pennsylvania | MEDICAID | 01034231 | AMERIHEALTH MERCY-WMG |
| Pennsylvania | MEDICAID | 2371461 | AMERIHEALTH MERCY-WMG |
| Pennsylvania | Other | 1541821 | AMERIHEALTH MERCY-WMG |
| Pennsylvania | MEDICAID | 037212900 | AMERIHEALTH MERCY-WMG |
| Pennsylvania | MEDICAID | 101094283 | AMERIHEALTH MERCY-WMG |
| Pennsylvania | Other | 1628981 | AMERIHEALTH MERCY-WMG |
| Pennsylvania | Other | 280433 | AMERIHEALTH MERCY-WMG |
| Pennsylvania | Other | 953505 | AMERIHEALTH MERCY-WMG |
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