Philomena C Broussard in Pascagoula - Specialist
Philomena C Broussard - NPI 1407923998
Philomena C Broussard is a Specialist in Pascagoula, Mississippi. Philomena C Broussard practices all healthcare services and medical treatments related to Specialist. The NPI Number for Philomena C Broussard is 1407923998. The last update date is 2007-07-08.
Philomena C Broussard's current location address is 2838 Andrew Ave, Pascagoula, Mississippi. You can contact this provider via phone number 2287622345 and fax number 2287622365. The mailing address for Philomena C Broussard is 2838 Andrew Ave, Pascagoula, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philomena C Broussard |
|---|---|
| Address | 2838 Andrew Ave, Pascagoula, Mississippi |
| Phone Number | 2287622345 |
| Fax Number | 2287622365 |
| Sole Proprietor | N |
| Credentials | DPT, MPHA, |
NPI Number Detail
| NPI Number | 1407923998 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2838 Andrew Ave |
|---|---|
| City | Pascagoula |
| State | Mississippi (MS) |
| Post Code | 395671802 |
| Phone Number | 2287622345 |
| Fax Number | 2287622365 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | PT0308 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Philomena C Broussard by the Centers for Medicare & Medicaid Services?
The Philomena C Broussard has been assigned the NPI (National Provider Identifier) 1407923998 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Philomena C Broussard's facilities are geographically located?
The facilities of Philomena C Broussard are physically situated at the following location: 2838 Andrew Ave, Pascagoula, MS, 395671802.
What is the Philomena C Broussard's specialty and taxonomy code?
The Philomena C Broussard's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407923998 to Philomena C Broussard?
The Centers for Medicare & Medicaid Services originally issued the 1407923998 to Philomena C Broussard on 2006-11-29.
As of what date was the information pertaining to Philomena C Broussard, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Philomena C Broussard, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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