Broeker, Blake

Broeker, Blake is an sole proprietor health care provider with primary practice located at 8594 E 116Th St Apt 250 , Fishers IN 46038-1581. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Broeker, Blake can be contacted via phone (812) 631-0547.

Contact Information

Primary practice address
8594 E 116Th St Apt 250 Fishers IN 46038-1581
Phone: (812) 631-0547
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT22207690 Indiana

Profile Details

NPI number 1942934674
LBN Legal business name Broeker, Blake
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2022
Last updated Jul 9th, 2022 - 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.

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