Broussard, Elzia Rena
Broussard, Elzia Rena is an individual health care provider with primary practice located at 3000 Rogers Rd Ste 210 , Wake Forest NC 27587-5745. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Broussard, Elzia Rena can be contacted via phone (919) 385-2120.Contact Information
Primary practice address
3000 Rogers Rd Ste 210
Wake Forest NC 27587-5745
Phone: (919) 385-2120
Fax: (919) 385-2144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2022-00924 | North Carolina |
Profile Details
| NPI number | 1376006254 |
|---|---|
| LBN Legal business name | Broussard, Elzia Rena |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2019 |
| Last updated | Jan 19th, 2024 - about 2 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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