Broyles, Dewlene

Broyles, Dewlene is an sole proprietor health care provider with primary practice located at 107 Rambling Trl , Weatherford TX 76087-6892. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Maternal Newborn, Nursing Service Providers / Lactation Consultant. Nursing Service Providers / Lactation Consultant is her primary health care specialty. Broyles, Dewlene can be contacted via phone (817) 821-6970.

Contact Information

Primary practice address
107 Rambling Trl Weatherford TX 76087-6892
Phone: (817) 821-6970
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Maternal Newborn 163WM0102X 222758 Texas
Nursing Service Providers / Lactation Consultant 163WL0100X 197-13815 Texas

Profile Details

NPI number 1477871317
LBN Legal business name Broyles, Dewlene
Credentials RNC,IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2010
Last updated Jan 23rd, 2012 - about 13 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 1477871317 NPPES
Texas MEDICAID 2826661

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