Brochero, Alfonso D
Brochero, Alfonso D is an individual health care provider with primary practice located at 5115 Bernard Dr Ste 301, Roanoke VA 24018-4367. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brochero, Alfonso D can be contacted via phone (540) 345-3556.Contact Information
Primary practice address
5115 Bernard Dr Ste 301
Roanoke VA 24018-4367
Phone: (540) 345-3556
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | TMD005195 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101245698 | Virginia |
Profile Details
| NPI number | 1306005665 |
|---|---|
| LBN Legal business name | Brochero, Alfonso D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2008 |
| Last updated | Nov 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306005665 | NPPES |
| Virginia | MEDICAID | 1306005665 |
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