Broman-Fulks, Jordan Daniel
Broman-Fulks, Jordan Daniel is an sole proprietor health care provider with primary practice located at 11 Vanderbilt Park Dr , Asheville NC 28803-1700. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Broman-Fulks, Jordan Daniel can be contacted via phone (828) 213-1740.Contact Information
Primary practice address
11 Vanderbilt Park Dr
Asheville NC 28803-1700
Phone: (828) 213-1740
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 210624 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 210624 | North Carolina |
Profile Details
| NPI number | 1558749598 |
|---|---|
| LBN Legal business name | Broman-Fulks, Jordan Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2015 |
| Last updated | Sep 8th, 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.
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