Brockman, Ross David
Brockman, Ross David is an sole proprietor health care provider with primary practice located at 2508 Bert Kouns Industrial Loop Ste 410 , Shreveport LA 71118-3157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Brockman, Ross David can be contacted via phone (318) 212-5944.Contact Information
Primary practice address
2508 Bert Kouns Industrial Loop Ste 410
Shreveport LA 71118-3157
Phone: (318) 212-5944
Fax: (318) 212-5949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 331336 | Louisiana |
Profile Details
| NPI number | 1427587054 |
|---|---|
| LBN Legal business name | Brockman, Ross David |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2017 |
| Last updated | May 30th, 2024 - about last year |
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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