Broussard, Alicia

Broussard, Alicia is an individual health care provider with primary practice located at 222 N 7Th St , Bismarck ND 58501-4436. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Broussard, Alicia can be contacted via phone (701) 323-5422.

Contact Information

Primary practice address
222 N 7Th St Bismarck ND 58501-4436
Phone: (701) 323-5422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 17317 North Dakota

Profile Details

NPI number 1295187888
LBN Legal business name Broussard, Alicia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2016
Last updated Oct 11th, 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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