Broadhurst, Jeremy
Broadhurst, Jeremy is an individual health care provider with primary practice located at 190 S Highway 165 , Providence UT 84332-9512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Broadhurst, Jeremy can be contacted via phone (435) 755-3300.Contact Information
Primary practice address
190 S Highway 165
Providence UT 84332-9512
Phone: (435) 755-3300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 6681706-1204 | Utah |
Profile Details
| NPI number | 1114115664 |
|---|---|
| LBN Legal business name | Broadhurst, Jeremy |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2007 |
| Last updated | Mar 5th, 2012 - about 13 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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