Brokaw, Corbin James

Brokaw, Corbin James is an individual health care provider with primary practice located at 2409 N 45Th St , Seattle WA 98103-6907. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Brokaw, Corbin James can be contacted via phone (206) 633-8100.

Contact Information

Primary practice address
2409 N 45Th St Seattle WA 98103-6907
Phone: (206) 633-8100
Fax: (206) 633-6107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60899309 Washington

Profile Details

NPI number 1982189023
LBN Legal business name Brokaw, Corbin James
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2018
Last updated Oct 25th, 2018 - about 7 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 1982189023 NPPES
Washington MEDICAID 2108733

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