Broussard, Jaime Marie
Broussard, Jaime Marie is an individual health care provider with primary practice located at 759 Chestnut St , Springfield MA 01107-1619. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Broussard, Jaime Marie can be contacted via phone (413) 794-3233.Contact Information
Primary practice address
759 Chestnut St
Springfield MA 01107-1619
Phone: (413) 794-3233
Fax: (413) 794-9060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA6254 | Massachusetts |
Profile Details
| NPI number | 1760918163 |
|---|---|
| LBN Legal business name | Broussard, Jaime Marie |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2017 |
| Last updated | Nov 15th, 2018 - about 8 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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