Credeur, Brian James

Credeur, Brian James is an individual health care provider with primary practice located at 501 Dr Michael Debakey Dr , Lake Charles LA 70601-5724. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Credeur, Brian James can be contacted via phone (337) 312-8246.

Contact Information

Primary practice address
501 Dr Michael Debakey Dr Lake Charles LA 70601-5724
Phone: (337) 312-8246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP07219 Louisiana

Profile Details

NPI number 1558601088
LBN Legal business name Credeur, Brian James
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2013
Last updated Jul 3rd, 2013 - about 13 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 1558601088 NPPES
Louisiana MEDICAID 2327241

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