Broselow, Robert Joel

Broselow, Robert Joel is an sole proprietor health care provider with primary practice located at 4009 19Th St Suite E, Lubbock TX 79410-1003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Broselow, Robert Joel can be contacted via phone (806) 795-9020.

Contact Information

Primary practice address
4009 19Th St Suite E Lubbock TX 79410-1003
Phone: (806) 795-9020
Fax: (806) 795-4726
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D9089 Texas

Profile Details

NPI number 1962691766
LBN Legal business name Broselow, Robert Joel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2007
Last updated Oct 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962691766 NPPES
Texas MEDICAID 123600206

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