Broshears, John R.

Broshears, John R. is an individual health care provider with primary practice located at 2020 59Th St W , Bradenton FL 34209-4604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Broshears, John R. can be contacted via phone (941) 798-6177.

Contact Information

Primary practice address
2020 59Th St W Bradenton FL 34209-4604
Phone: (941) 798-6177
Fax: (941) 798-6168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 01029754A Indiana
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME0037595 Florida

Profile Details

NPI number 1295711018
LBN Legal business name Broshears, John R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated May 2nd, 2011 - about 13 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 1295711018 NPPES
Indiana MEDICAID 200297250A
Indiana Other 000000092720
Indiana Other 000000009158

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