Delatte, Brian Joseph

Delatte, Brian Joseph is an individual health care provider with primary practice located at 7869 Main St , Houma LA 70360-4461. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Delatte, Brian Joseph can be contacted via phone (985) 873-8526.

Contact Information

Primary practice address
7869 Main St Houma LA 70360-4461
Phone: (985) 873-8526
Fax: (985) 873-8541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 11097 Louisiana

Profile Details

NPI number 1689736241
LBN Legal business name Delatte, Brian Joseph
Credentials PD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 19 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 1689736241 NPPES
Louisiana Other 1906099 NABP
Louisiana MEDICAID 1233510 NABP

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