Broadhurst, Laurel Evans

Broadhurst, Laurel Evans is an individual health care provider with primary practice located at 201 Tabernacle Rd Jfk-Adatc, Black Mountain NC 28711-2526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as her primary health care specialty. Broadhurst, Laurel Evans can be contacted via phone (828) 669-3455.

Contact Information

Primary practice address
201 Tabernacle Rd Jfk-Adatc Black Mountain NC 28711-2526
Phone: (828) 669-3455
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 009501185 North Carolina

Profile Details

NPI number 1669590055
LBN Legal business name Broadhurst, Laurel Evans
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Oct 30th, 2015 - about 10 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 1669590055 NPPES
North Carolina MEDICAID 8912992

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