Broussard, Issac Duane

Broussard, Issac Duane is an individual health care provider with primary practice located at 305 Rawls Dr , Mccomb MS 39648-2833. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Broussard, Issac Duane can be contacted via phone (601) 684-0465.

Contact Information

Primary practice address
305 Rawls Dr Mccomb MS 39648-2833
Phone: (601) 684-0465
Fax: (601) 684-3031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine 207ZB0001X 12940 Mississippi
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 12940 Mississippi

Profile Details

NPI number 1942272513
LBN Legal business name Broussard, Issac Duane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jan 22nd, 2008 - about 16 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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