Brokaw, David S

Brokaw, David S is an individual health care provider with primary practice located at 8450 Northwest Blvd , Indianapolis IN 46278-1381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Brokaw, David S can be contacted via phone (317) 802-2000.

Contact Information

Primary practice address
8450 Northwest Blvd Indianapolis IN 46278-1381
Phone: (317) 802-2000
Fax: (317) 802-2170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01036879 Indiana

Profile Details

NPI number 1104877596
LBN Legal business name Brokaw, David S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated May 14th, 2024 - about last year

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 1104877596 NPPES
Indiana MEDICAID 200004830

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