Broussard, Emile Dore

Broussard, Emile Dore is an individual health care provider with primary practice located at 204 North Magdalen Square , Abbeville LA 70510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Broussard, Emile Dore can be contacted via phone (337) 893-4452.

Contact Information

Primary practice address
204 North Magdalen Square Abbeville LA 70510
Fax: (337) 893-7870
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 19843 Louisiana

Profile Details

NPI number 1427038744
LBN Legal business name Broussard, Emile Dore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Oct 1st, 2014 - about 11 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 1427038744 NPPES
Louisiana MEDICAID 1922404

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