Washington, Brian
Washington, Brian is an individual health care provider with primary practice located at 1513 Line Avenue Suite 225, Shreveport LA 71101. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Washington, Brian can be contacted via phone (318) 754-3890.Contact Information
Primary practice address
1513 Line Avenue Suite 225
Shreveport LA 71101
Phone: (318) 754-3890
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1972256832 |
|---|---|
| LBN Legal business name | Washington, Brian |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2022 |
| Last updated | Feb 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972256832 | NPPES |
| Louisiana | MEDICAID | 2184334 |
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