Dibuono, Bryan David
Dibuono, Bryan David is an individual health care provider with primary practice located at 1850 Gause Blvd E Suite 202, Slidell LA 70461-5442. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Dibuono, Bryan David can be contacted via phone (985) 639-3777.Contact Information
Primary practice address
1850 Gause Blvd E Suite 202
Slidell LA 70461-5442
Phone: (985) 639-3777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 201223 | Louisiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 201223 | Louisiana |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD.201223 | Louisiana |
Profile Details
| NPI number | 1508057688 |
|---|---|
| LBN Legal business name | Dibuono, Bryan David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Apr 7th, 2016 - about 10 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 | 1508057688 | NPPES |
| Mississippi | MEDICAID | 07582225 | |
| Mississippi | MEDICAID | 1216801 |
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