Bromaghim, Roger Joseph
Bromaghim, Roger Joseph is an individual health care provider with primary practice located at 16991 198Th Avenue Nw , Big Lake MN 55309-0249. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bromaghim, Roger Joseph can be contacted via phone (763) 263-6350.Contact Information
Primary practice address
16991 198Th Avenue Nw
Big Lake MN 55309-0249
Phone: (763) 263-6350
Fax: (763) 263-0136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D9355 | Minnesota |
Profile Details
| NPI number | 1902937782 |
|---|---|
| LBN Legal business name | Bromaghim, Roger Joseph |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| 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 | 1902937782 | NPPES |
| Minnesota | Other | D9355 | STATE LICENSE |
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