Davis, Brandon L

Davis, Brandon L is an individual health care provider with primary practice located at 4224 Houma Blvd Ste 430 , Metairie LA 70006-2937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Davis, Brandon L can be contacted via phone (504) 888-7771.

Contact Information

Primary practice address
4224 Houma Blvd Ste 430 Metairie LA 70006-2937
Phone: (504) 888-7771
Fax: (504) 888-9388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD201500 Louisiana
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 21052 Mississippi

Profile Details

NPI number 1235343187
LBN Legal business name Davis, Brandon L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Sep 27th, 2011 - about 15 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 1235343187 NPPES
Louisiana MEDICAID 1014621
Louisiana MEDICAID 03183371

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