Yancy, Brigetta Desiree
Yancy, Brigetta Desiree is an individual health care provider with primary practice located at 1220 Barataria Blvd , Marrero LA 70072. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Yancy, Brigetta Desiree can be contacted via phone (504) 340-6711.Contact Information
Primary practice address
1220 Barataria Blvd
Marrero LA 70072
Phone: (504) 340-6711
Fax: (504) 348-3935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 025301 | Louisiana |
Profile Details
| NPI number | 1063475499 |
|---|---|
| LBN Legal business name | Yancy, Brigetta Desiree |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Nov 20th, 2009 - about 17 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 | 1063475499 | NPPES |
| Louisiana | MEDICAID | 1552011 |
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