National Provider Identifier Database

JODY M BROUSSARD
Driver

A person employed to operate a motor vehicle as a carrier of persons or property.


Contact Information

JODY M BROUSSARD
494 OTTO FRANKLIN RD
DERIDDER, LA70634-6404
Phone: 337-396-1312
Fax: 337-462-0283
Website:
Specialty Taxonomy Code
* Driver 172A00000X

* Indicates primary specialty

NPI Profile & details for JODY M BROUSSARD

NPI Number 1659871796
Credentials
Entity Individual
Enumeration date 02/15/2018
Last updated 02/15/2018 - About 8 years ago
Sole proprietor1 Yes
Identifiers
  • LA License #: 005855942
Hospital affiliation n/a

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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