Broekhuizen, Daniel A

Broekhuizen, Daniel A is an individual health care provider with primary practice located at 1629 Medical Arts Blvd Suite 200, Anderson IN 46011-3454. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Broekhuizen, Daniel A can be contacted via phone (765) 298-5439.

Contact Information

Primary practice address
1629 Medical Arts Blvd Suite 200 Anderson IN 46011-3454
Phone: (765) 298-5439
Fax: (765) 298-4920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000421A Indiana

Profile Details

NPI number 1558381616
LBN Legal business name Broekhuizen, Daniel A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Mar 5th, 2015 - about 11 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 1558381616 NPPES
Indiana MEDICAID 200217190

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