Provider Demographics
NPI:1700463296
Name:SINCLAIR, BRANDI
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 HISTORIC WEST
Mailing Address - Street 2:
Mailing Address - City:GARYVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70051
Mailing Address - Country:US
Mailing Address - Phone:504-914-5552
Mailing Address - Fax:
Practice Address - Street 1:182 HISTORIC WEST
Practice Address - Street 2:
Practice Address - City:GARYVILLE
Practice Address - State:LA
Practice Address - Zip Code:70051
Practice Address - Country:US
Practice Address - Phone:504-914-5552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)