Theunissen, Taylor Bryan
Theunissen, Taylor Bryan is an sole proprietor health care provider with primary practice located at 5233 Dijon Dr , Baton Rouge LA 70808-4692. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Theunissen, Taylor Bryan can be contacted via phone (225) 218-6108.Contact Information
Primary practice address
5233 Dijon Dr
Baton Rouge LA 70808-4692
Phone: (225) 218-6108
Fax: (225) 223-6010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 026454 | Louisiana |
| Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck | 2082S0099X | 026454 | Louisiana |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 026454 | Louisiana |
Profile Details
| NPI number | 1801086368 |
|---|---|
| LBN Legal business name | Theunissen, Taylor Bryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2007 |
| Last updated | Apr 28th, 2016 - about 8 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 | 1801086368 | NPPES |
| Louisiana | MEDICAID | 1063444 | |
| Louisiana | MEDICAID | 05285897 |
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