Page, Brandon

Page, Brandon is an individual health care provider with primary practice located at 441 Wall Blvd , Gretna LA 70056-7723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Page, Brandon can be contacted via phone (504) 371-6550.

Contact Information

Primary practice address
441 Wall Blvd Gretna LA 70056-7723
Phone: (504) 371-6550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11016017 Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.207152 Louisiana

Profile Details

NPI number 1932495470
LBN Legal business name Page, Brandon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2011
Last updated Apr 24th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932495470 NPPES
Mississippi MEDICAID 00101241
Mississippi MEDICAID 2371428

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