Broberg, Charles A

Broberg, Charles A is an individual health care provider with primary practice located at 1600 W 22Nd St , Sioux Falls SD 57105-1521. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Broberg, Charles A can be contacted via phone (605) 312-1000.

Contact Information

Primary practice address
1600 W 22Nd St Sioux Falls SD 57105-1521
Phone: (605) 312-1000
Fax: (605) 312-1001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0922 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0922 South Dakota

Profile Details

NPI number 1073672481
LBN Legal business name Broberg, Charles A
Credentials DC, PA,
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jun 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073672481 NPPES
South Dakota MEDICAID 7604240
South Dakota Other 0005375
South Dakota Other BR021953

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