Brockway, Michael

Brockway, Michael is an sole proprietor health care provider with primary practice located at 313 S 9Th Ave , Yakima WA 98902-3516. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Brockway, Michael can be contacted via phone (509) 248-8040.

Contact Information

Primary practice address
313 S 9Th Ave Yakima WA 98902-3516
Phone: (509) 248-8040
Fax: (509) 248-8709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X OI 00000188 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X PS 00000189 Washington

Profile Details

NPI number 1336339365
LBN Legal business name Brockway, Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2007
Last updated Mar 14th, 2013 - about 12 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 1336339365 NPPES
Washington MEDICAID 8418956
Washington MEDICAID 9045675

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