Broghammer, Joshua Alan

Broghammer, Joshua Alan is an individual health care provider with primary practice located at 3901 Rainbow Blvd Mail Stop 3016, Kansas City KS 66160-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Broghammer, Joshua Alan can be contacted via phone (913) 588-6982.

Contact Information

Primary practice address
3901 Rainbow Blvd Mail Stop 3016 Kansas City KS 66160-0001
Phone: (913) 588-6982
Fax: (913) 588-7625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD00047512 Washington
Allopathic & Osteopathic Physicians / Urology 208800000X 04-33094 Kansas
Allopathic & Osteopathic Physicians / Urology 208800000X 2008018539 Missouri

Profile Details

NPI number 1689703639
LBN Legal business name Broghammer, Joshua Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 2nd, 2008 - about 16 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 1689703639 NPPES
Washington MEDICAID 8475717

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