Peterson, Brian Wade

Peterson, Brian Wade is an individual health care provider with primary practice located at 3800 Houma Blvd Suite 205, Metairie LA 70006-4182. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Peterson, Brian Wade can be contacted via phone (504) 885-7337.

Contact Information

Primary practice address
3800 Houma Blvd Suite 205 Metairie LA 70006-4182
Phone: (504) 885-7337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD.205229 Louisiana

Profile Details

NPI number 1639330996
LBN Legal business name Peterson, Brian Wade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated Oct 15th, 2013 - about 13 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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