Borskey, Brooke Bridevaux

Borskey, Brooke Bridevaux is an individual health care provider with primary practice located at 1023 W Highway 30 , Gonzales LA 70737-5002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Borskey, Brooke Bridevaux can be contacted via phone (225) 765-5500.

Contact Information

Primary practice address
1023 W Highway 30 Gonzales LA 70737-5002
Phone: (225) 765-5500
Fax: (225) 647-5342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 200699 Louisiana

Profile Details

NPI number 1528476959
LBN Legal business name Borskey, Brooke Bridevaux
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2014
Last updated Jan 19th, 2021 - about 5 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 1528476959 NPPES
Louisiana MEDICAID 00658361

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