Broadwater, Donnie Lee

Broadwater, Donnie Lee is an individual health care provider with primary practice located at 622 Powell Ave Developmental Service, Big Stone Gap VA 24219. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Broadwater, Donnie Lee can be contacted via phone (276) 523-0682.

Contact Information

Primary practice address
622 Powell Ave Developmental Service Big Stone Gap VA 24219
Phone: (276) 523-0682
Fax: (276) 523-0684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1841314069
LBN Legal business name Broadwater, Donnie Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jul 8th, 2007 - about 18 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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