Broad, Jan Michael

Broad, Jan Michael is an sole proprietor health care provider with primary practice located at 6 Sandpiper Pl , Superior WI 54880-5390. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Broad, Jan Michael can be contacted via phone (715) 392-9192.

Contact Information

Primary practice address
6 Sandpiper Pl Superior WI 54880-5390
Phone: (715) 392-9192
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R134618-7 Minnesota

Profile Details

NPI number 1275835597
LBN Legal business name Broad, Jan Michael
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2010
Last updated Nov 18th, 2010 - about 15 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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