Brossard, Iris A.

Brossard, Iris A. is an individual health care provider with primary practice located at 1200 Sixth Ave No Centra Care Clinic, St Cloud MN 56303-2735. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Brossard, Iris A. can be contacted via phone (320) 252-5731.

Contact Information

Primary practice address
1200 Sixth Ave No Centra Care Clinic St Cloud MN 56303-2735
Phone: (320) 252-5731
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD043369E Pennsylvania
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 51670 Minnesota

Profile Details

NPI number 1780656702
LBN Legal business name Brossard, Iris A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jun 17th, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780656702 NPPES
Pennsylvania MEDICAID 001168197

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