Broadway, Marc S.

Broadway, Marc S. is an sole proprietor health care provider with primary practice located at 2011 Troy King Rd Trlr 10 , Farmington NM 87401-3123. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Broadway, Marc S. can be contacted via phone (505) 566-0336.

Contact Information

Primary practice address
2011 Troy King Rd Trlr 10 Farmington NM 87401-3123
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4455 New Mexico

Profile Details

NPI number 1043342496
LBN Legal business name Broadway, Marc S.
Credentials B.A., SAA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
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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