Broussard, Raymond Eddie
Broussard, Raymond Eddie is an individual health care provider with primary practice located at 1724 Grande Blvd , Rio Rancho NM 87124. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Broussard, Raymond Eddie can be contacted via phone (505) 896-0245.Contact Information
Primary practice address
1724 Grande Blvd
Rio Rancho NM 87124
Phone: (505) 896-0245
Fax: (505) 892-7579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DD1745 | New Mexico |
Profile Details
| NPI number | 1558478560 |
|---|---|
| LBN Legal business name | Broussard, Raymond Eddie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558478560 | NPPES |
| New Mexico | MEDICAID | 83918 |
Popular Providers
-
Schoppert, Roy Franklin
1316 Jackie Rd Se Suite #300, Rio Rancho NM 87124-6618 -
Christensen, Christopher
701 Broadmoor Blvd Ne , Rio Rancho NM 87124-2594 -
Cowden, Jason Thomas
7800 Carr Way Ne Suite 105, Rio Rancho NM 87144-0900 -
Burns-Sanchez, Susan M
1117 Rio Rancho Dr Se Ste 19, Rio Rancho NM 87124-1859 -
Sweeney, Michael Aaron
4111 Barbara Loop Se Ste D2 , Rio Rancho NM 87124-1068 -
Nayyar, Aamna
7048 Skylar Dr Ne , Rio Rancho NM 87144-8702 -
Rivers, Elizabeth
1594 Sara Rd Se Ste C, Rio Rancho NM 87124-1862 -
Bobbitt, Katelyn Noelle
950 Unser Blvd Se Ste 100 , Rio Rancho NM 87124-6376