Bromberg, Mark S

Bromberg, Mark S is an individual health care provider with primary practice located at 405 Nw Gilman Blvd Suite 200, Issaquah WA 98027-2470. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bromberg, Mark S can be contacted via phone (425) 392-6804.

Contact Information

Primary practice address
405 Nw Gilman Blvd Suite 200 Issaquah WA 98027-2470
Phone: (425) 392-6804
Fax: (425) 392-6805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00007431 Washington

Profile Details

NPI number 1033196092
LBN Legal business name Bromberg, Mark S
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
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 1033196092 NPPES
Washington MEDICAID 8347833

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