Fong, Brian Lee

Fong, Brian Lee is an sole proprietor health care provider with primary practice located at 2965 Gause Blvd E Suite A, Slidell LA 70461-4154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Fong, Brian Lee can be contacted via phone (985) 641-7775.

Contact Information

Primary practice address
2965 Gause Blvd E Suite A Slidell LA 70461-4154
Phone: (985) 641-7775
Fax: (985) 641-1166
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 10265R Louisiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD7157 Hawaii

Profile Details

NPI number 1982690095
LBN Legal business name Fong, Brian Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2005
Last updated Aug 31st, 2020 - about 5 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 1982690095 NPPES
Other 1194920001 DME MEDICARE
Other 200030274 DME MEDICARE
Other C7760 DME MEDICARE

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