Broussard, Gerald Ball

Broussard, Gerald Ball is an individual health care provider with primary practice located at 1250 Pecanland Rd Suite E-1, Monroe LA 71203-7011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Broussard, Gerald Ball can be contacted via phone (318) 387-2015.

Contact Information

Primary practice address
1250 Pecanland Rd Suite E-1 Monroe LA 71203-7011
Phone: (318) 387-2015
Fax: (318) 387-2097
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 014616 Louisiana

Profile Details

NPI number 1073511903
LBN Legal business name Broussard, Gerald Ball
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jul 9th, 2007 - about 18 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 1073511903 NPPES
Louisiana MEDICAID 1324159

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