Broadbent, Talmage Jay

Broadbent, Talmage Jay is an individual health care provider with primary practice located at 626 S. Sheridan St , Spokane WA 99202-1325. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Broadbent, Talmage Jay can be contacted via phone (509) 279-2176.

Contact Information

Primary practice address
626 S. Sheridan St Spokane WA 99202-1325
Phone: (509) 279-2176
Fax: (509) 279-2941
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 58899 Minnesota
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X MD60704061 Washington

Profile Details

NPI number 1043507205
LBN Legal business name Broadbent, Talmage Jay
Credentials MD,PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2011
Last updated Feb 8th, 2023 - about 2 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 1043507205 NPPES
Washington MEDICAID 2079499

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