Jeffery Broffman Md

LBN: Dr Jeff Broffman A Medical Corp
Jeffery Broffman Md is an health care organization with primary practice located at 1144 Sonoma Ave #101, Santa Rosa CA 95405. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Dr Jeff Broffman A Medical Corp can be contacted via phone (707) 526-7920, or through Knight, Nena via phone (707) 526-7920.

Contact Information

Primary practice address
1144 Sonoma Ave #101 Santa Rosa CA 95405
Fax: (707) 526-0459
Website:
Authorized official contact:
Name: Knight, Nena

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X G53420 California

Profile Details

NPI number 1346315181
LBN Legal business name Dr Jeff Broffman A Medical Corp
DBA Doing business as Jeffery Broffman Md
Authorized official Knight, Nena
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2006
Last updated Jul 25th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346315181 NPPES
California MEDICAID 00G534200

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