Broussard, Morgan Ortego

Broussard, Morgan Ortego is an sole proprietor health care provider with primary practice located at 313 Herlil Cir , Carencro LA 70520-5518. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Broussard, Morgan Ortego can be contacted via phone (337) 739-5837.

Contact Information

Primary practice address
313 Herlil Cir Carencro LA 70520-5518
Phone: (337) 739-5837
Fax: (337) 896-2970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X Z12122 Louisiana

Profile Details

NPI number 1356555163
LBN Legal business name Broussard, Morgan Ortego
Credentials LOTR
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2007
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 1356555163 NPPES
Louisiana MEDICAID 1304026

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