Dr. Jeremy Broussard
Chiropractor
612 Rue De Onetta
New Iberia
, Louisiana 70563-2163
Dr. Jeremy Broussard
Chiropractor
612 Rue De Onetta
New Iberia
, Louisiana 70563-2163
(337) 367-6649
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Jeremy Broussard
- 612 Rue De Onetta
- New Iberia, LA
- Zip : 70563
- Phone : (337) 367-6649
Second Address
- Dr. Jeremy Broussard
- 612 Rue De Onetta
- New Iberia, LA
- Zip : 70563-2163
- Phone : (337) 367-6649
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1741 | LA |
National Provider Identifier
| NPI | 1003294919 |
|---|---|
| Provider Name | Dr. Jeremy Broussard |
| First Address | New Iberia, LA 70563 |
| Second Address | New Iberia, LA 70563-2163 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/05/2015 |
| Last Update Date | 12/05/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.