Broussard, Jennifer Nicole

Broussard, Jennifer Nicole is an individual health care provider with primary practice located at 9000 Franklin Square Dr , Baltimore MD 21237-3901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Broussard, Jennifer Nicole can be contacted via phone (443) 777-7000.

Contact Information

Primary practice address
9000 Franklin Square Dr Baltimore MD 21237-3901
Phone: (443) 777-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X D62841 Maryland

Profile Details

NPI number 1497713978
LBN Legal business name Broussard, Jennifer Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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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