Guillory, Brian Alan
Guillory, Brian Alan is an sole proprietor health care provider with primary practice located at 110 Lakeview Dr Ste 200 , Covington LA 70433-7511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Guillory, Brian Alan can be contacted via phone (985) 898-1940.Contact Information
Primary practice address
110 Lakeview Dr Ste 200
Covington LA 70433-7511
Phone: (985) 898-1940
Fax: (985) 809-0425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 020197 | Louisiana |
Profile Details
| NPI number | 1649242702 |
|---|---|
| LBN Legal business name | Guillory, Brian Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Jan 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649242702 | NPPES |
| Louisiana | Other | G3579 | BLUE CROSS/BLUE SHIELD |
| Louisiana | MEDICAID | 1929441 | BLUE CROSS/BLUE SHIELD |
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