Broomhead, Samantha

Broomhead, Samantha is an sole proprietor health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2689. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Broomhead, Samantha can be contacted via phone (313) 916-2600.

Contact Information

Primary practice address
2799 W Grand Blvd Detroit MI 48202-2689
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003366 Michigan

Profile Details

NPI number 1598733180
LBN Legal business name Broomhead, Samantha
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2006
Last updated May 19th, 2022 - about 2 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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