Broussard, Casey
Broussard, Casey is an individual health care provider with primary practice located at 2466 Flowood Dr Suite 3, Flowood MS 39232-9019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Broussard, Casey can be contacted via phone (601) 815-5700.Contact Information
Primary practice address
2466 Flowood Dr Suite 3
Flowood MS 39232-9019
Phone: (601) 815-5700
Fax: (601) 346-5795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | T-2539 | Mississippi |
Profile Details
| NPI number | 1699039016 |
|---|---|
| LBN Legal business name | Broussard, Casey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2012 |
| Last updated | Apr 16th, 2014 - about 12 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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