Broyles, J Thomas
Broyles, J Thomas is an sole proprietor health care provider with primary practice located at 3440 Riverside Dr , Upper Arlington OH 43221-1743. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Broyles, J Thomas can be contacted via phone (614) 459-0077.Contact Information
Primary practice address
3440 Riverside Dr
Upper Arlington OH 43221-1743
Phone: (614) 459-0077
Fax: (614) 459-3355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35-039714 | Ohio |
Profile Details
| NPI number | 1902869373 |
|---|---|
| LBN Legal business name | Broyles, J Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Jun 1st, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902869373 | NPPES |
| Ohio | MEDICAID | 0315680 |
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