Broberg, Mark A.

Broberg, Mark A. is an individual health care provider with primary practice located at 520 N Chelan Ave , Wenatchee WA 98801-6697. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Broberg, Mark A. can be contacted via phone (509) 662-2211.

Contact Information

Primary practice address
520 N Chelan Ave Wenatchee WA 98801-6697
Phone: (509) 662-2211
Fax: (509) 662-8756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD00022773 Washington

Profile Details

NPI number 1174529804
LBN Legal business name Broberg, Mark A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jul 14th, 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 1174529804 NPPES
Washington Other 322544 WVH LNI
Washington Other P01257508 WVH LNI
Washington MEDICAID 1174529804 WVH LNI

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