Broky, Wayne S
Broky, Wayne S is an individual health care provider with primary practice located at 9630 E Shea Blvd , Scottsdale AZ 85260-6267. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Broky, Wayne S can be contacted via phone (480) 767-3920.Contact Information
Primary practice address
9630 E Shea Blvd
Scottsdale AZ 85260-6267
Phone: (480) 767-3920
Fax: (480) 551-5378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 9518 | Arizona |
Profile Details
| NPI number | 1922006642 |
|---|---|
| LBN Legal business name | Broky, Wayne S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922006642 | NPPES |
| Arizona | MEDICAID | 223644 |
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