Broz, Robin
Broz, Robin is an sole proprietor health care provider with primary practice located at 8801 W Union Hills Dr , Peoria AZ 85382-8189. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Broz, Robin can be contacted via phone (623) 241-9026.Contact Information
Primary practice address
8801 W Union Hills Dr
Peoria AZ 85382-8189
Phone: (623) 241-9026
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 1209 | South Dakota |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4074 | Arizona |
Profile Details
| NPI number | 1053473421 |
|---|---|
| LBN Legal business name | Broz, Robin |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | May 3rd, 2019 - about 7 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 | 1053473421 | NPPES |
| Arizona | Other | 864480 | AHCCCS |
| Arizona | Other | 1053473421 | AHCCCS |
| Arizona | MEDICAID | 6702500 | AHCCCS |
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