Broughton, Judy C
Broughton, Judy C is an individual health care provider with primary practice located at 705 Main St , Danville VA 24541-1803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Broughton, Judy C can be contacted via phone (434) 791-3630.Contact Information
Primary practice address
705 Main St
Danville VA 24541-1803
Phone: (434) 791-3630
Fax: (434) 791-4088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024139541 | Virginia |
Profile Details
| NPI number | 1184624207 |
|---|---|
| LBN Legal business name | Broughton, Judy C |
| Credentials | MN, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Nov 3rd, 2013 - about 11 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 | 1184624207 | NPPES |
| Virginia | MEDICAID | 1184624207 |
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