Broghammer, Matthew J

Broghammer, Matthew J is an individual health care provider with primary practice located at 855 Mankato Ave , Winona MN 55987-4868. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Broghammer, Matthew J can be contacted via phone (507) 454-3680.

Contact Information

Primary practice address
855 Mankato Ave Winona MN 55987-4868
Phone: (507) 454-3680
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 45674 Minnesota

Profile Details

NPI number 1124038773
LBN Legal business name Broghammer, Matthew J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Dec 13th, 2011 - about 14 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 1124038773 NPPES
Minnesota MEDICAID 028891800

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