Broussard, Margaret Eleanor
Broussard, Margaret Eleanor is an individual health care provider with primary practice located at 120 Stevens St Sw , Grand Rapids MI 49507-1526. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavior Technician, Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Broussard, Margaret Eleanor can be contacted via phone (855) 832-6727.Contact Information
Primary practice address
120 Stevens St Sw
Grand Rapids MI 49507-1526
Phone: (855) 832-6727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1124654561 |
|---|---|
| LBN Legal business name | Broussard, Margaret Eleanor |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2020 |
| Last updated | Aug 9th, 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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