Broach, Richard H

Broach, Richard H is an sole proprietor health care provider with primary practice located at 309 E North St , Waukesha WI 53188-3718. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is his primary health care specialty. Broach, Richard H can be contacted via phone (414) 672-1353.

Contact Information

Primary practice address
309 E North St Waukesha WI 53188-3718
Phone: (414) 672-1353
Fax: (414) 385-7552
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3576125 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 4270 Wisconsin

Profile Details

NPI number 1588605257
LBN Legal business name Broach, Richard H
Credentials APNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2006
Last updated Jun 15th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588605257 NPPES
Wisconsin MEDICAID 40995000

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