Burt Joseph Broussard in Brentwood - Chiropractor

Burt Joseph Broussard - NPI 1346445616

Burt Joseph Broussard is a Chiropractor in Brentwood, California. Burt Joseph Broussard practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Burt Joseph Broussard is 1346445616. The last update date is 2007-07-08.

Burt Joseph Broussard's current location address is 1185 2nd St, Brentwood, California. You can contact this provider via phone number 9256346161 and fax number 9256340222. The mailing address for Burt Joseph Broussard is 1185 2nd St, Brentwood, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Burt Joseph Broussard
Address 1185 2nd St, Brentwood, California
Phone Number 9256346161
Fax Number 9256340222
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1346445616
Provider Enumeration Date 2007-06-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1185 2nd St
City Brentwood
State California (CA)
Post Code 945132299
Phone Number 9256346161
Fax Number 9256340222

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No DC15731
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

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FAQs about Burt Joseph Broussard

What is the unique provider identifier assigned to Burt Joseph Broussard?

The Burt Joseph Broussard has been issued the NPI (National Provider Identifier) 1346445616 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Burt Joseph Broussard is physically located?

The Burt Joseph Broussard is situated at the following address: 1185 2Nd St, Brentwood, CA 945132299.

What is Burt Joseph Broussard's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Burt Joseph Broussard is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.

On what date did Burt Joseph Broussard receive its 1346445616 assignment from the Centers for Medicare & Medicaid Services?

The Burt Joseph Broussard was assigned its 1346445616 on 2007-06-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Burt Joseph Broussard's information last updated?

The Burt Joseph Broussard's information was last updated on 2007-07-08.

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