Broglio, Anthony Lee

Broglio, Anthony Lee is an individual health care provider with primary practice located at 822 Broad St , Kingsport TN 37660-3718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Broglio, Anthony Lee can be contacted via phone (423) 246-6251.

Contact Information

Primary practice address
822 Broad St Kingsport TN 37660-3718
Phone: (423) 246-6251
Fax: (423) 246-7230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 010808 Tennessee

Profile Details

NPI number 1104878388
LBN Legal business name Broglio, Anthony Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 23rd, 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 1104878388 NPPES
Other 0213340004 DMERC
Other 62086999803 DMERC
Other 043070 DMERC
MEDICAID 007574258 DMERC
Other 2003575 DMERC

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