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
Phone: (610) 690-4490
Fax: (610) 328-9391
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285660977 | NPPES |
| Pennsylvania | MEDICAID | 0018765530003 |
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