Blanchard, Alexis Broussard

Blanchard, Alexis Broussard is an individual health care provider with primary practice located at 113 Chaplin Dr , Lafayette LA 70508-2101. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Blanchard, Alexis Broussard can be contacted via phone (337) 521-7000.

Contact Information

Primary practice address
113 Chaplin Dr Lafayette LA 70508-2101
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 8228 Louisiana

Profile Details

NPI number 1114665387
LBN Legal business name Blanchard, Alexis Broussard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2022
Last updated May 26th, 2022 - about 4 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 1114665387 NPPES
Louisiana MEDICAID 8228

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