Broyles, Gregory F

Broyles, Gregory F is an individual health care provider with primary practice located at 410 Dewey Street , Wisconsin Rapids WI 55494-4715. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Broyles, Gregory F can be contacted via phone (414) 290-6720.

Contact Information

Primary practice address
410 Dewey Street Wisconsin Rapids WI 55494-4715
Phone: (414) 290-6720
Fax: (414) 290-6755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000104 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2683-23 Wisconsin

Profile Details

NPI number 1841223427
LBN Legal business name Broyles, Gregory F
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Mar 28th, 2011 - about 14 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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