Harold Joseph Broussard in New Iberia - Medical

Harold Joseph Broussard - NPI 1144352287

Harold Joseph Broussard is a Medical in New Iberia, Louisiana. Harold Joseph Broussard practices all healthcare services and medical treatments related to Medical. The NPI Number for Harold Joseph Broussard is 1144352287. The last update date is 2007-07-08.

Harold Joseph Broussard's current location address is 2309 E Main St, New Iberia, Louisiana. You can contact this provider via phone number 3375600931 and fax number 3375600934. The mailing address for Harold Joseph Broussard is 2309 E Main St, New Iberia, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Harold Joseph Broussard
Address 2309 E Main St, New Iberia, Louisiana
Phone Number 3375600931
Fax Number 3375600934
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1144352287
Provider Enumeration Date 2007-03-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2309 E Main St
City New Iberia
State Louisiana (LA)
Post Code 705604046
Phone Number 3375600931
Fax Number 3375600934

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA.A10075.RX
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PA.A10075.RX LA STATE LICENSE NUMBER

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FAQs about Harold Joseph Broussard

What is the unique 10-digit identification code issued to Harold Joseph Broussard by the Centers for Medicare & Medicaid Services?

The Harold Joseph Broussard has been assigned the NPI (National Provider Identifier) 1144352287 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Harold Joseph Broussard is geographically located?

The Harold Joseph Broussard is physically situated at the following location: 2309 E Main St, New Iberia, LA, 705604046.

What is Harold Joseph Broussard's area of expertise and its corresponding taxonomy classification?

The Harold Joseph Broussard's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.

On what date did the Harold Joseph Broussard receive its 1144352287 assignment from the Centers for Medicare & Medicaid Services?

The Harold Joseph Broussard was assigned its 1144352287 by the Centers for Medicare & Medicaid Services on 2007-03-12.

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

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

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