Broadhead, Sarah Kathryn
Broadhead, Sarah Kathryn is an individual health care provider with primary practice located at 717 N 190Th Plz Ste. 3100, Elkhorn NE 68022-3913. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Broadhead, Sarah Kathryn can be contacted via phone (402) 815-1325.Contact Information
Primary practice address
717 N 190Th Plz Ste. 3100
Elkhorn NE 68022-3913
Phone: (402) 815-1325
Fax: (402) 815-2020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 24633 | Nebraska |
Profile Details
| NPI number | 1851507933 |
|---|---|
| LBN Legal business name | Broadhead, Sarah Kathryn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2007 |
| Last updated | Jan 16th, 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 | 1851507933 | NPPES |
| Nebraska | MEDICAID | 47068731742 | |
| Nebraska | MEDICAID | 10026480100 | |
| Nebraska | MEDICAID | 1851507933 | |
| Nebraska | MEDICAID | 10025837400 |
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