Broughton, Robert E

Broughton, Robert E is an individual health care provider with primary practice located at 705 Main St , Danville VA 24541-1803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Broughton, Robert E can be contacted via phone (434) 791-4122.

Contact Information

Primary practice address
705 Main St Danville VA 24541-1803
Phone: (434) 791-4122
Fax: (434) 791-4126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101051412 Virginia

Profile Details

NPI number 1154389591
LBN Legal business name Broughton, Robert E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Nov 1st, 2013 - about 13 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 1154389591 NPPES
Virginia MEDICAID 010241596

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