Broskie, Nancy Elaine
Broskie, Nancy Elaine is an sole proprietor health care provider with primary practice located at 525 Glen Creek Rd Nw Suite 240, Salem OR 97304-3161. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Broskie, Nancy Elaine can be contacted via phone (503) 364-7049.Contact Information
Primary practice address
525 Glen Creek Rd Nw Suite 240
Salem OR 97304-3161
Phone: (503) 364-7049
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 17967 | Oregon |
Profile Details
| NPI number | 1235120973 |
|---|---|
| LBN Legal business name | Broskie, Nancy Elaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Nov 21st, 2023 - about last year |
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 | 1235120973 | NPPES |
| Oregon | MEDICAID | 075098 |
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