Brannon, Guy Emilio

Brannon, Guy Emilio is an individual health care provider with primary practice located at 1002 Highland Ave , Shreveport LA 71101-4143. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Brannon, Guy Emilio can be contacted via phone (318) 222-6226.

Contact Information

Primary practice address
1002 Highland Ave Shreveport LA 71101-4143
Phone: (318) 222-6226
Fax: (318) 221-8526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 022555 Louisiana
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 022555 Louisiana

Profile Details

NPI number 1164481875
LBN Legal business name Brannon, Guy Emilio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Oct 17th, 2019 - about 7 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 1164481875 NPPES
Louisiana MEDICAID 14938505

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