Broshears, Suzette

Broshears, Suzette is an individual health care provider with primary practice located at 316 Chandler Ave , Evansville IN 47713-1147. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Broshears, Suzette can be contacted via phone (812) 436-4501.

Contact Information

Primary practice address
316 Chandler Ave Evansville IN 47713-1147
Phone: (812) 436-4501
Fax: (812) 436-4510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01049478 Indiana

Profile Details

NPI number 1205016995
LBN Legal business name Broshears, Suzette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2007
Last updated Aug 19th, 2016 - about 10 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 1205016995 NPPES
Other M400052567 MEDICARE
Other 000000785906 MEDICARE
MEDICAID 200200690 MEDICARE
Other 200079040D MEDICARE

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