Broadbent, Talmage Jay
Broadbent, Talmage Jay is an individual health care provider with primary practice located at 626 S. Sheridan St , Spokane WA 99202-1325. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Broadbent, Talmage Jay can be contacted via phone (509) 279-2176.Contact Information
Primary practice address
626 S. Sheridan St
Spokane WA 99202-1325
Phone: (509) 279-2176
Fax: (509) 279-2941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 58899 | Minnesota |
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | MD60704061 | Washington |
Profile Details
| NPI number | 1043507205 |
|---|---|
| LBN Legal business name | Broadbent, Talmage Jay |
| Credentials | MD,PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2011 |
| Last updated | Feb 8th, 2023 - about 3 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 | 1043507205 | NPPES |
| Washington | MEDICAID | 2079499 |
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