Broussard, Daniel James

Broussard, Daniel James is an individual health care provider with primary practice located at 727 Welsh Rd Ste 103 , Huntingdon Valley PA 19006-6357. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Broussard, Daniel James can be contacted via phone (215) 947-7550.

Contact Information

Primary practice address
727 Welsh Rd Ste 103 Huntingdon Valley PA 19006-6357
Phone: (215) 947-7550
Fax: (215) 947-0590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X OA004910 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OA004910 Pennsylvania

Profile Details

NPI number 1679066211
LBN Legal business name Broussard, Daniel James
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2018
Last updated Oct 23rd, 2020 - about 5 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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