Broussard, Terrance

Broussard, Terrance is an sole proprietor health care provider with primary practice located at 12672 Federal Pl , Fishers IN 46037-7833. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Broussard, Terrance can be contacted via phone (317) 374-4102.

Contact Information

Primary practice address
12672 Federal Pl Fishers IN 46037-7833
Phone: (317) 374-4102
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 991572 Indiana

Profile Details

NPI number 1205232550
LBN Legal business name Broussard, Terrance
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2014
Last updated Nov 14th, 2014 - about 11 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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