Acosta, Bryant Anthony
Acosta, Bryant Anthony is an individual health care provider with primary practice located at 609 W Court St Ste B , Winnfield LA 71483-2686. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Paramedic, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Acosta, Bryant Anthony can be contacted via phone (318) 209-4646.Contact Information
Primary practice address
609 W Court St Ste B
Winnfield LA 71483-2686
Phone: (318) 209-4646
Fax: (318) 209-4649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Emergency Medical Technician, Paramedic | 146L00000X | PO835285 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA.A10303.RX | Louisiana |
Profile Details
| NPI number | 1952445249 |
|---|---|
| LBN Legal business name | Acosta, Bryant Anthony |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2007 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1952445249 | NPPES |
| Louisiana | MEDICAID | 1452602 |
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