Broussard, Malcolm J
Broussard, Malcolm J is an sole proprietor health care provider with primary practice located at 3388 Brentwood Dr , Baton Rouge LA 70809-1700. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Broussard, Malcolm J can be contacted via phone (225) 925-6481.Contact Information
Primary practice address
3388 Brentwood Dr
Baton Rouge LA 70809-1700
Phone: (225) 925-6481
Fax: (225) 922-0316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 11396 | Louisiana |
Profile Details
| NPI number | 1346241007 |
|---|---|
| LBN Legal business name | Broussard, Malcolm J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Apr 7th, 2011 - about 13 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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