Broadbent, William Trevor
Broadbent, William Trevor is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Broadbent, William Trevor can be contacted via phone (800) 243-1455.Contact Information
Primary practice address
500 University Dr
Hershey PA 17033-2360
Phone: (800) 243-1455
Fax: (717) 531-4077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA051746 | Pennsylvania |
Profile Details
| NPI number | 1447255781 |
|---|---|
| LBN Legal business name | Broadbent, William Trevor |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Jan 13th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447255781 | NPPES |
| Pennsylvania | MEDICAID | 1032078870001 |
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