Bromberg, Isaac M.

Bromberg, Isaac M. is an individual health care provider with primary practice located at 310 Sunnyview Ln , Kalispell MT 59901-3199. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Bromberg, Isaac M. can be contacted via phone (406) 752-5111.

Contact Information

Primary practice address
310 Sunnyview Ln Kalispell MT 59901-3199
Phone: (406) 752-5111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207PH0002X 223813 Massachusetts
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207PH0002X 94397 Montana

Profile Details

NPI number 1710957428
LBN Legal business name Bromberg, Isaac M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Feb 18th, 2021 - 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 1710957428 NPPES
Massachusetts MEDICAID 1710957428

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