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
Phone: (505) 566-0336
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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