Broussard, John Robert

Broussard, John Robert is an sole proprietor health care provider with primary practice located at 2711 Edgewood Dr , Placerville CA 95667-3409. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Broussard, John Robert can be contacted via phone (530) 306-1816.

Contact Information

Primary practice address
2711 Edgewood Dr Placerville CA 95667-3409
Phone: (530) 306-1816
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1013271196
LBN Legal business name Broussard, John Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2012
Last updated Jul 3rd, 2012 - about 14 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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