Brouillette, Jeremy

Brouillette, Jeremy is an individual health care provider with primary practice located at 1970 Roanoke Blvd Bldg 143, Podiatry Department, Salem VA 24153-6404. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Brouillette, Jeremy can be contacted via phone (540) 982-2463.

Contact Information

Primary practice address
1970 Roanoke Blvd Bldg 143, Podiatry Department Salem VA 24153-6404
Phone: (540) 982-2463
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 10448 West Virginia
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103301199 Virginia

Profile Details

NPI number 1477969806
LBN Legal business name Brouillette, Jeremy
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2014
Last updated May 9th, 2017 - about 7 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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