Bronaugh, Heather Rae
Bronaugh, Heather Rae is an individual health care provider with primary practice located at 1051 Gause Blvd Ste 410 , Slidell LA 70458-2995. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Bronaugh, Heather Rae can be contacted via phone (985) 280-9002.Contact Information
Primary practice address
1051 Gause Blvd Ste 410
Slidell LA 70458-2995
Phone: (985) 280-9002
Fax: (985) 781-0200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 025950 | Louisiana |
Profile Details
| NPI number | 1144211632 |
|---|---|
| LBN Legal business name | Bronaugh, Heather Rae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jan 22nd, 2020 - about 6 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 | 1144211632 | NPPES |
| Louisiana | Other | P00336861 | RAILROAD MEDICARE |
| Louisiana | Other | 1801020433 | RAILROAD MEDICARE |
| Louisiana | MEDICAID | 1420271 | RAILROAD MEDICARE |
| Louisiana | Other | 5CR31 | RAILROAD MEDICARE |
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