Broomfield, Paul Howard
Broomfield, Paul Howard is an individual health care provider with primary practice located at 375 E Main St Ste 21, Bay Shore NY 11706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Broomfield, Paul Howard can be contacted via phone (631) 968-8288.Contact Information
Primary practice address
375 E Main St Ste 21
Bay Shore NY 11706
Phone: (631) 968-8288
Fax: (631) 968-8268
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 1777841 | New York |
Profile Details
| NPI number | 1043323462 |
|---|---|
| LBN Legal business name | Broomfield, Paul Howard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Feb 16th, 2010 - about 15 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 | 1043323462 | NPPES |
| New York | MEDICAID | 01133691 |
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