Broden, Luisa
Broden, Luisa is an sole proprietor health care provider with primary practice located at 902 N Almon St Apt 3 , Moscow ID 83843-8544. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Broden, Luisa can be contacted via phone (509) 675-3813.Contact Information
Primary practice address
902 N Almon St Apt 3
Moscow ID 83843-8544
Phone: (509) 675-3813
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Idaho |
Profile Details
| NPI number | 1003434283 |
|---|---|
| LBN Legal business name | Broden, Luisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2020 |
| Last updated | Jul 14th, 2020 - about 5 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 | 1003434283 | NPPES |
| Washington | Other | UDWW750166632 | REGENCE |
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