Brozek, Jeffrey E

Brozek, Jeffrey E is an individual health care provider with primary practice located at 1309 Polk St , Great Bend KS 67530-3618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brozek, Jeffrey E can be contacted via phone (620) 792-5341.

Contact Information

Primary practice address
1309 Polk St Great Bend KS 67530-3618
Phone: (620) 792-5341
Fax: (620) 792-3702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-20541 Kansas

Profile Details

NPI number 1134120652
LBN Legal business name Brozek, Jeffrey E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 8th, 2007 - about 19 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 1134120652 NPPES
Kansas Other 021414 BLUE SHIELD

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