Broughton, Mary E
Broughton, Mary E is an individual health care provider with primary practice located at 5109 36Th Ave N , Crystal MN 55422-2007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Broughton, Mary E can be contacted via phone (763) 587-7900.Contact Information
Primary practice address
5109 36Th Ave N
Crystal MN 55422-2007
Phone: (763) 587-7900
Fax: (763) 587-7989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 10288 | Minnesota |
Profile Details
| NPI number | 1487844734 |
|---|---|
| LBN Legal business name | Broughton, Mary E |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Nov 7th, 2022 - 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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