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Contact Information

SHEA D BROUSSARD, M.A.
2011 CHAPEL HILL RD
DURHAM, NC27707-1109
 Phone: 512-294-3435
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for SHEA D BROUSSARD · (Female)

NPI Number 1891543963
Status Active
Credentials M.A.
Entity Individual
Enumeration date 05/13/2024
Last updated 05/13/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 630
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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