Broadhead, Brian G

Broadhead, Brian G is an individual health care provider with primary practice located at 111 Florissant Oaks Shop Ctr , Florissant MO 63031-3933. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Broadhead, Brian G can be contacted via phone (314) 837-8477.

Contact Information

Primary practice address
111 Florissant Oaks Shop Ctr Florissant MO 63031-3933
Phone: (314) 837-8477
Fax: (314) 837-0611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 2001014944 Missouri

Profile Details

NPI number 1275573081
LBN Legal business name Broadhead, Brian G
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 29th, 2010 - about 14 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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