Broekhuizen, Jamie C

Broekhuizen, Jamie C is an individual health care provider with primary practice located at 3909 New Vision Dr , Fort Wayne IN 46845-1725. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Broekhuizen, Jamie C can be contacted via phone (260) 469-6610.

Contact Information

Primary practice address
3909 New Vision Dr Fort Wayne IN 46845-1725
Phone: (260) 469-6610
Fax: (260) 969-3065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036129571 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101016722 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 5101016722 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02004512A Indiana

Profile Details

NPI number 1033312442
LBN Legal business name Broekhuizen, Jamie C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Oct 3rd, 2022 - about 2 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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