Broome-Webster, Chad Langston

Broome-Webster, Chad Langston is an individual health care provider with primary practice located at 938 Saxon Blvd Suite 101 C, Orange City FL 32763-8305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Broome-Webster, Chad Langston can be contacted via phone (386) 774-5485.

Contact Information

Primary practice address
938 Saxon Blvd Suite 101 C Orange City FL 32763-8305
Phone: (386) 774-5485
Fax: (386) 775-0761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X ME 83626 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME83626 Florida

Profile Details

NPI number 1669430732
LBN Legal business name Broome-Webster, Chad Langston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Dec 7th, 2017 - 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 1669430732 NPPES
Florida Other 06618 BCBS
Florida MEDICAID 263267500 BCBS

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