Broad, Joshua A.

Broad, Joshua A. is an sole proprietor health care provider with primary practice located at 1314 N Norma St , Ridgecrest CA 93555-2509. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Broad, Joshua A. can be contacted via phone (760) 446-2935.

Contact Information

Primary practice address
1314 N Norma St Ridgecrest CA 93555-2509
Phone: (760) 446-2935
Fax: (760) 446-2937
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA19744 California

Profile Details

NPI number 1134382013
LBN Legal business name Broad, Joshua A.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2008
Last updated Oct 22nd, 2008 - about 17 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 1134382013 NPPES
California Other PA19744 STATE LICENSE
California Other 1082405 STATE LICENSE

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