Phillips, Brandon Lane

Phillips, Brandon Lane is an individual health care provider with primary practice located at 300 Pavilion Rd , West Monroe LA 71292-9470. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Phillips, Brandon Lane can be contacted via phone (318) 323-1100.

Contact Information

Primary practice address
300 Pavilion Rd West Monroe LA 71292-9470
Phone: (318) 323-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X N5944 Texas
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 303412 Louisiana

Profile Details

NPI number 1881893808
LBN Legal business name Phillips, Brandon Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2007
Last updated Nov 1st, 2022 - about 4 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 1881893808 NPPES
Mississippi MEDICAID 09731876
Mississippi MEDICAID 2430718

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