Vekovius, Bryan Johannes

Vekovius, Bryan Johannes is an sole proprietor health care provider with primary practice located at 450 Ashley Ridge Blvd , Shreveport LA 71106-7228. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Vekovius, Bryan Johannes can be contacted via phone (318) 375-3733.

Contact Information

Primary practice address
450 Ashley Ridge Blvd Shreveport LA 71106-7228
Phone: (318) 375-3733
Fax: (318) 675-3734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X L023263 Louisiana
Other Service Providers / Specialist 174400000X L023263 Louisiana

Profile Details

NPI number 1285674820
LBN Legal business name Vekovius, Bryan Johannes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated May 20th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285674820 NPPES
Texas Other 154644202 TEXAS MEDICAID
Texas Other 170085727 TEXAS MEDICAID
Texas Other 0238TU TEXAS MEDICAID
Texas MEDICAID 1495867 TEXAS MEDICAID
Texas Other 180044593 TEXAS MEDICAID

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