Broadbent, Denisse Guillen
Broadbent, Denisse Guillen is an individual health care provider with primary practice located at 13060 Isle Dr , Baxter MN 56425-8331. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Broadbent, Denisse Guillen can be contacted via phone (218) 828-2880.Contact Information
Primary practice address
13060 Isle Dr
Baxter MN 56425-8331
Phone: (218) 828-2880
Fax: (218) 454-5916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 66589 | Minnesota |
Profile Details
| NPI number | 1508399130 |
|---|---|
| LBN Legal business name | Broadbent, Denisse Guillen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2017 |
| Last updated | Jun 12th, 2020 - about 6 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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