Bromberg, Mark S
Bromberg, Mark S is an individual health care provider with primary practice located at 3101 Northup Way Ste 101 , Bellevue WA 98004-1435. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bromberg, Mark S can be contacted via phone (425) 462-5006.Contact Information
Primary practice address
3101 Northup Way Ste 101
Bellevue WA 98004-1435
Phone: (425) 462-5006
Fax: (425) 462-5019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00007431 | Washington |
Profile Details
| NPI number | 1033196092 |
|---|---|
| LBN Legal business name | Bromberg, Mark S |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Dec 12th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033196092 | NPPES |
| Washington | MEDICAID | 1000855 |
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