Marino, Brian Joseph

Marino, Brian Joseph is an individual health care provider with primary practice located at 604 N Acadia Rd Suite 207, Thibodaux LA 70301-4897. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Marino, Brian Joseph can be contacted via phone (985) 446-1763.

Contact Information

Primary practice address
604 N Acadia Rd Suite 207 Thibodaux LA 70301-4897
Phone: (985) 446-1763
Fax: (985) 446-9813
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 200188 Louisiana

Profile Details

NPI number 1750379814
LBN Legal business name Marino, Brian Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Apr 10th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750379814 NPPES
Louisiana MEDICAID 1647519

Popular Providers