Broghammer, Tyler James

Broghammer, Tyler James is an sole proprietor health care provider with primary practice located at 3200 Canyon Lake Dr , Rapid City SD 57702-8114. He recently has only one registered license in Nursing Service Providers / Case Management, which is considered as his primary health care specialty. Broghammer, Tyler James can be contacted via phone (605) 355-2500.

Contact Information

Primary practice address
3200 Canyon Lake Dr Rapid City SD 57702-8114
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X R049367 South Dakota

Profile Details

NPI number 1952000184
LBN Legal business name Broghammer, Tyler James
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2023
Last updated Feb 27th, 2023 - about last year

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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