Brandt, Gary
Brandt, Gary is an sole proprietor health care provider with primary practice located at 9422 Scotland Ave , Baton Rouge LA 70807-3951. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Brandt, Gary can be contacted via phone (225) 774-1822.Contact Information
Primary practice address
9422 Scotland Ave
Baton Rouge LA 70807-3951
Phone: (225) 774-1822
Fax: (225) 774-1836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 017647 | Louisiana |
Profile Details
| NPI number | 1255331450 |
|---|---|
| LBN Legal business name | Brandt, Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Oct 13th, 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 | 1255331450 | NPPES |
| Louisiana | Other | 4331551460 | BLUE CROSS |
| Louisiana | Other | 930114663 | BLUE CROSS |
| Louisiana | MEDICAID | 1359670 | BLUE CROSS |
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