Brockway, Kathleen Elizabeth

Brockway, Kathleen Elizabeth is an sole proprietor health care provider with primary practice located at 13740 Beach Blvd Ste 404 , Jacksonville FL 32224-6036. She recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as her primary health care specialty. Brockway, Kathleen Elizabeth can be contacted via phone (904) 223-5595.

Contact Information

Primary practice address
13740 Beach Blvd Ste 404 Jacksonville FL 32224-6036
Phone: (904) 223-5595
Fax: (904) 223-5594
Website:
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Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1720227465
LBN Legal business name Brockway, Kathleen Elizabeth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2009
Last updated Feb 19th, 2009 - about 15 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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