Brombaugh, Marvin L

Brombaugh, Marvin L is an individual health care provider with primary practice located at 602 W. University Avenue Anesthesiology, Urbana IL 61801. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Brombaugh, Marvin L can be contacted via phone (217) 383-3141.

Contact Information

Primary practice address
602 W. University Avenue Anesthesiology Urbana IL 61801
Phone: (217) 383-3141
Fax: (217) 383-3265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209000576 Illinois

Profile Details

NPI number 1306999198
LBN Legal business name Brombaugh, Marvin L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jun 5th, 2012 - about 13 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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