Broman, Katherine Marie

Broman, Katherine Marie is an individual health care provider with primary practice located at 400 Benedicta Ave Ste A, Trinidad CO 81082-2089. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Broman, Katherine Marie can be contacted via phone (719) 846-2206.

Contact Information

Primary practice address
400 Benedicta Ave Ste A Trinidad CO 81082-2089
Phone: (719) 846-2206
Fax: (719) 846-7823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27075 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR.0056414 Colorado

Profile Details

NPI number 1780663294
LBN Legal business name Broman, Katherine Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Oct 14th, 2016 - about 9 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 1780663294 NPPES
Iowa MEDICAID 0265223
Iowa Other 54422
Iowa Other 27075
Iowa Other 54447
Iowa Other 21950
Iowa MEDICAID 2107748

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