Broussard, Robert Craig

Broussard, Robert Craig is an individual health care provider with primary practice located at 2770 3Rd Ave Ste 350 , Lake Charles LA 70601-0404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Broussard, Robert Craig can be contacted via phone (337) 494-2750.

Contact Information

Primary practice address
2770 3Rd Ave Ste 350 Lake Charles LA 70601-0404
Phone: (337) 494-2750
Fax: (337) 494-2760
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 018460 Louisiana

Profile Details

NPI number 1821007170
LBN Legal business name Broussard, Robert Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jun 9th, 2022 - about 3 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 1821007170 NPPES
Louisiana MEDICAID 1396826
Louisiana Other 5J895DR91

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