Bryan Johannes Vekovius in Shreveport - Specialist
Bryan Johannes Vekovius - NPI 1285674820
Bryan Johannes Vekovius is a Specialist in Shreveport, Louisiana. Bryan Johannes Vekovius practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bryan Johannes Vekovius is 1285674820. The last update date is 2020-05-20.
Bryan Johannes Vekovius's current location address is 450 Ashley Ridge Blvd, Shreveport, Louisiana. You can contact this provider via phone number 3186753733. The mailing address for Bryan Johannes Vekovius is 450 Ashley Ridge Blvd, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bryan Johannes Vekovius |
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Address | 450 Ashley Ridge Blvd, Shreveport, Louisiana |
Phone Number | 3186753733 |
Fax Number | |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1285674820 |
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Provider Enumeration Date | 2006-06-08 |
Last Updated Date | 2020-05-20 |
Provider Mailing Address Detail
Address | 450 Ashley Ridge Blvd |
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City | Shreveport |
State | Louisiana (LA) |
Post Code | 711067228 |
Phone Number | 3186753733 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | L023263 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
154644202 | TX | TEXAS MEDICAID | |
170085727 | LA | GROUP NPI # | |
0238TU | TX | BLUE CROSS BLUE SHIELD | |
1495867 | LA | -- | |
180044593 | LA | RAILROAD MEDICARE |
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What is the unique 10-digit identifier code issued to Bryan Johannes Vekovius by the Centers for Medicare & Medicaid Services?
The Bryan Johannes Vekovius has been assigned the NPI (National Provider Identifier) 1285674820 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Bryan Johannes Vekovius?
The Bryan Johannes Vekovius is physically situated at 450 Ashley Ridge Blvd, in the city of Shreveport, state of LA, with the postal code 711067228.
What is Bryan Johannes Vekovius's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bryan Johannes Vekovius's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did Bryan Johannes Vekovius receive its 1285674820 assignment from the Centers for Medicare & Medicaid Services?
The Bryan Johannes Vekovius was assigned its 1285674820 on 2006-06-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Bryan Johannes Vekovius, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bryan Johannes Vekovius, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-05-20.