Broglio, Kathleen
Broglio, Kathleen is an individual health care provider with primary practice located at 1 Medical Center Dr Palliative Medicine, Lebanon NH 03756-1000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Broglio, Kathleen can be contacted via phone (603) 650-5402.Contact Information
Primary practice address
1 Medical Center Dr Palliative Medicine
Lebanon NH 03756-1000
Phone: (603) 650-5402
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F304539 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 072656-23 | New Hampshire |
Profile Details
| NPI number | 1558443689 |
|---|---|
| LBN Legal business name | Broglio, Kathleen |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Jul 28th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558443689 | NPPES |
| Hawaii | MEDICAID | 54746601 | |
| Hawaii | Other | 00A0235315 |
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