Dr.Kenbroshddspc

LBN: Dr.Kenbroshddspc
Dr.Kenbroshddspc is an health care organization with primary practice located at 1180 N 6Th St , Mascoutah IL 62258-1178. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Dr.Kenbroshddspc can be contacted via phone (618) 566-7000, or through Brosh, Ken Neal via phone (618) 566-7000.

Contact Information

Primary practice address
1180 N 6Th St Mascoutah IL 62258-1178
Phone: (618) 566-7000
Fax: (618) 566-7000
Website:
Map and Directions
Authorized official contact:
Name: Brosh, Ken Neal Doctor of Dental Surgery (DDS)
Phone: (618) 566-7000

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 019019341 Illinois

Profile Details

NPI number 1134399421
LBN Legal business name Dr.Kenbroshddspc
DBA Doing business as
Authorized official Brosh, Ken Neal Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2008
Last updated Mar 3rd, 2008 - about 17 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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