Brouard, Yvonne J

Brouard, Yvonne J is an individual health care provider with primary practice located at 1144 Coffee Rd , Modesto CA 95355-4205. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brouard, Yvonne J can be contacted via phone (209) 524-1211.

Contact Information

Primary practice address
1144 Coffee Rd Modesto CA 95355-4205
Phone: (209) 524-1211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G74079 California

Profile Details

NPI number 1982660122
LBN Legal business name Brouard, Yvonne J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated May 15th, 2009 - about 17 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 1982660122 NPPES
California MEDICAID 00G740790

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