Broughton, Shelby

Broughton, Shelby is an individual health care provider with primary practice located at 1968 Hawks Ln Ne , Brookhaven GA 30329-2283. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Broughton, Shelby can be contacted via phone (404) 778-7137.

Contact Information

Primary practice address
1968 Hawks Ln Ne Brookhaven GA 30329-2283
Phone: (404) 778-7137
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1922692300
LBN Legal business name Broughton, Shelby
Credentials ATC, OTC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2021
Last updated Feb 25th, 2021 - about 5 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 1922692300 NPPES
Other 2000029173 BOC ATHLETIC TRAINING

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