Broussard, Anderson

Broussard, Anderson is an sole proprietor health care provider with primary practice located at 909 Pico Blvd , Santa Monica CA 90405-1326. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Broussard, Anderson can be contacted via phone (310) 314-6200.

Contact Information

Primary practice address
909 Pico Blvd Santa Monica CA 90405-1326
Phone: (310) 314-6200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1619411469
LBN Legal business name Broussard, Anderson
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2016
Last updated Dec 28th, 2016 - about 10 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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