Broselow, Robert Joel
Broselow, Robert Joel is an sole proprietor health care provider with primary practice located at 4009 19Th St Suite E, Lubbock TX 79410-1003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Broselow, Robert Joel can be contacted via phone (806) 795-9020.Contact Information
Primary practice address
4009 19Th St Suite E
Lubbock TX 79410-1003
Phone: (806) 795-9020
Fax: (806) 795-4726
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | D9089 | Texas |
Profile Details
NPI number | 1962691766 |
---|---|
LBN Legal business name | Broselow, Robert Joel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 17th, 2007 |
Last updated | Oct 17th, 2007 - about 17 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 | 1962691766 | NPPES |
Texas | MEDICAID | 123600206 |
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