Broshek, Donna K.
Broshek, Donna K. is an individual health care provider with primary practice located at 1300 Jefferson Park Ave , Charlottesville VA 22903-3363. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Broshek, Donna K. can be contacted via phone (434) 924-2718.Contact Information
Primary practice address
1300 Jefferson Park Ave
Charlottesville VA 22903-3363
Phone: (434) 924-2718
Fax: (434) 243-6546
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 0810002525 | Virginia |
Profile Details
NPI number | 1790819910 |
---|---|
LBN Legal business name | Broshek, Donna K. |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 16th, 2007 |
Last updated | Aug 8th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790819910 | NPPES |
Virginia | MEDICAID | 007709854 |
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