Pinkney, Broderick Letrey
Pinkney, Broderick Letrey is an individual health care provider with primary practice located at 2810 East Causeway Approach , Mandeville LA 70449-3502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Pinkney, Broderick Letrey can be contacted via phone (985) 875-2713.Contact Information
Primary practice address
2810 East Causeway Approach
Mandeville LA 70449-3502
Phone: (985) 875-2713
Fax: (504) 373-6103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD.204069 | Louisiana |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | GETP.LSU.P | Louisiana |
Profile Details
| NPI number | 1023208675 |
|---|---|
| LBN Legal business name | Pinkney, Broderick Letrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2007 |
| Last updated | Nov 3rd, 2011 - about 13 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 | 1023208675 | NPPES |
| Louisiana | MEDICAID | 1006751 | |
| Louisiana | MEDICAID | 06076223 |
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