Brokken, Amy E.

Brokken, Amy E. is an individual health care provider with primary practice located at 410 W 10Th Ave , Columbus OH 43210-1240. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brokken, Amy E. can be contacted via phone (614) 293-8305.

Contact Information

Primary practice address
410 W 10Th Ave Columbus OH 43210-1240
Phone: (614) 293-8305
Fax: (614) 293-3124
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004767 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9104538 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50003150 Ohio

Profile Details

NPI number 1861471773
LBN Legal business name Brokken, Amy E.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jun 26th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861471773 NPPES
Ohio MEDICAID PENDING
Ohio MEDICAID 7922404
Ohio MEDICAID 001600000

Popular Providers