Pinkney, Broderick Letrey

Pinkney, Broderick Letrey is an individual health care provider with primary practice located at 2810 East Causeway Approach , Mandeville LA 70449-3502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Pinkney, Broderick Letrey can be contacted via phone (985) 875-2713.

Contact Information

Primary practice address
2810 East Causeway Approach Mandeville LA 70449-3502
Phone: (985) 875-2713
Fax: (504) 373-6103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD.204069 Louisiana
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X GETP.LSU.P Louisiana

Profile Details

NPI number 1023208675
LBN Legal business name Pinkney, Broderick Letrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Nov 3rd, 2011 - about 15 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 1023208675 NPPES
Louisiana MEDICAID 1006751
Louisiana MEDICAID 06076223

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