Broadwater, J.
Broadwater, J. is an individual health care provider with primary practice located at 4301 W Markham St # 783 , Little Rock AR 72205-7101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Broadwater, J. can be contacted via phone (501) 686-8000.Contact Information
Primary practice address
4301 W Markham St # 783
Little Rock AR 72205-7101
Phone: (501) 686-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | C-6025 | Arkansas |
Profile Details
| NPI number | 1043300619 |
|---|---|
| LBN Legal business name | Broadwater, J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jan 7th, 2008 - about 17 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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