Broadwell, Brian

Broadwell, Brian is an individual health care provider with primary practice located at 8535 Fern Ave , Shreveport LA 71105-5656. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Broadwell, Brian can be contacted via phone (318) 798-3376.

Contact Information

Primary practice address
8535 Fern Ave Shreveport LA 71105-5656
Phone: (318) 798-3376
Fax: (318) 798-3310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5313 Louisiana

Profile Details

NPI number 1689679383
LBN Legal business name Broadwell, Brian
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jul 8th, 2007 - about 19 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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