Broad, Edward Richard

Broad, Edward Richard is an individual health care provider with primary practice located at 611 W Brown St #101, Wylie TX 75098. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Broad, Edward Richard can be contacted via phone (972) 442-5287.

Contact Information

Primary practice address
611 W Brown St #101 Wylie TX 75098
Fax: (972) 442-3181
Website:

Health care specialties

Profile Details

NPI number 1235152117
LBN Legal business name Broad, Edward Richard
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - about 18 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 1235152117 NPPES
Other 0021MG BCBS GRP
Other P00223957 BCBS GRP
Other DD3715 BCBS GRP
Other 8T3999 BCBS GRP

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