Broocker, Warren Alan
Broocker, Warren Alan is an individual health care provider with primary practice located at 10710 Midlothian Turnpike Ste 200, Richmond VA 23235-4759. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Broocker, Warren Alan can be contacted via phone (804) 897-2100.Contact Information
Primary practice address
10710 Midlothian Turnpike Ste 200
Richmond VA 23235-4759
Phone: (804) 897-2100
Fax: (804) 897-9074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0101026911 | Virginia |
Profile Details
| NPI number | 1225002041 |
|---|---|
| LBN Legal business name | Broocker, Warren Alan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Mar 3rd, 2010 - about 14 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 | 1225002041 | NPPES |
| Virginia | MEDICAID | 6290558 |
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