Brokaw, Bruce

Brokaw, Bruce is an individual health care provider with primary practice located at 400 Captain Thomas Road , Wells ME 04090-7552. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Brokaw, Bruce can be contacted via phone (603) 740-3293.

Contact Information

Primary practice address
400 Captain Thomas Road Wells ME 04090-7552
Phone: (603) 740-3293
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0170 New Hampshire

Profile Details

NPI number 1316159072
LBN Legal business name Brokaw, Bruce
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jul 8th, 2007 - about 18 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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