Broka, Troy Alan

Broka, Troy Alan is an sole proprietor health care provider with primary practice located at 401 W Greenlawn Ave , Lansing MI 48910-2819. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Broka, Troy Alan can be contacted via phone (517) 377-8225.

Contact Information

Primary practice address
401 W Greenlawn Ave Lansing MI 48910-2819
Phone: (517) 377-8225
Fax: (517) 372-5006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704190455 Michigan

Profile Details

NPI number 1396876876
LBN Legal business name Broka, Troy Alan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 17 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 1396876876 NPPES
Michigan Other 4704190455 STATE LICENSE

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