Broom, Robin
Broom, Robin is an individual health care provider with primary practice located at 2700 N Grimes St , Hobbs NM 88240-1816. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Broom, Robin can be contacted via phone (505) 392-4129.Contact Information
Primary practice address
2700 N Grimes St
Hobbs NM 88240-1816
Phone: (505) 392-4129
Fax: (505) 392-3835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2953 | New Mexico |
Profile Details
| NPI number | 1609983006 |
|---|---|
| LBN Legal business name | Broom, Robin |
| Credentials | M.S. P.T. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Sep 7th, 2007 - about 19 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 | 1609983006 | NPPES |
| New Mexico | Other | QMYPR0067389 | MOLINA ID |
| New Mexico | Other | 2387 | MOLINA ID |
| New Mexico | Other | 003 | MOLINA ID |
| New Mexico | Other | NM00Q387 | MOLINA ID |
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