Broughton, Staci

Broughton, Staci is an individual health care provider with primary practice located at 5101 N 34Th St , Broken Arrow OK 74014-1710. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant. Technologists, Technicians & Other Technical Service Providers / Surgical Assistant is her primary health care specialty. Broughton, Staci can be contacted via phone (918) 605-6796.

Contact Information

Primary practice address
5101 N 34Th St Broken Arrow OK 74014-1710
Phone: (918) 605-6796
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 117099 Oklahoma
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 145868 Oklahoma

Profile Details

NPI number 1962847822
LBN Legal business name Broughton, Staci
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2013
Last updated Oct 15th, 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.

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