Brockenbrough, Andrew Trueman
Brockenbrough, Andrew Trueman is an individual health care provider with primary practice located at 24920 104Th Ave Se , Kent WA 98030-6443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Brockenbrough, Andrew Trueman can be contacted via phone (425) 690-3544.Contact Information
Primary practice address
24920 104Th Ave Se
Kent WA 98030-6443
Phone: (425) 690-3544
Fax: (425) 690-9444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD00039138 | Washington |
Profile Details
| NPI number | 1316994288 |
|---|---|
| LBN Legal business name | Brockenbrough, Andrew Trueman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Aug 17th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316994288 | NPPES |
| Washington | MEDICAID | 1007639 |
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