Broussard, Elizabeth K

Broussard, Elizabeth K is an individual health care provider with primary practice located at 1959 Ne Pacific St , Seattle WA 98195-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Broussard, Elizabeth K can be contacted via phone (206) 598-4377.

Contact Information

Primary practice address
1959 Ne Pacific St Seattle WA 98195-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD00042785 Washington

Profile Details

NPI number 1669419495
LBN Legal business name Broussard, Elizabeth K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Apr 16th, 2021 - about 4 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 1669419495 NPPES
Washington Other 0230760 L&I
Washington MEDICAID 1669419495 L&I

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