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Individual

BRETT JOSEPH CHIASSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 J.W. DAVIS DRIVE, HAMMOND, LA 70454
(985) 350-6505
(985) 350-6509
Mailing address
1000 J.W. DAVIS DRIVE, HAMMOND, LA 70454
(985) 350-6505
(985) 350-6509

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
021220
LA
207X00000X
Orthopaedic Surgery Physician
Primary
MD.021220
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1366455
LA
05
1534960
LA
01
6175360002
PALMETTO GBA CIGNA GOV. SERVICES
LA
01
D06873
MEDICARE RAILROAD GROUP
LA
01
P00699109
MEDICARE RAILROAD
LA
Enumeration date
06/15/2006
Last updated
12/07/2009
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