Broecker, Jane Ellery

Broecker, Jane Ellery is an individual health care provider with primary practice located at 75 Hospital Dr Suite 260, Athens OH 45701-2857. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Broecker, Jane Ellery can be contacted via phone (740) 594-8819.

Contact Information

Primary practice address
75 Hospital Dr Suite 260 Athens OH 45701-2857
Phone: (740) 594-8819
Fax: (740) 594-4090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35.076838 Ohio

Profile Details

NPI number 1548360852
LBN Legal business name Broecker, Jane Ellery
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jan 25th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548360852 NPPES
Ohio MEDICAID 2301833

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