Broyles, Melissa P

Broyles, Melissa P is an individual health care provider with primary practice located at 1260 E Woodland Ave Suite 200, Springfield PA 19064-3969. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Broyles, Melissa P can be contacted via phone (610) 690-4490.

Contact Information

Primary practice address
1260 E Woodland Ave Suite 200 Springfield PA 19064-3969
Fax: (610) 328-9391
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS009837L Pennsylvania

Profile Details

NPI number 1285660977
LBN Legal business name Broyles, Melissa P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Feb 6th, 2014 - about 10 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 1285660977 NPPES
Pennsylvania MEDICAID 0018765530003

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