Jeffery Broffman Md
LBN: Dr Jeff Broffman A Medical Corp
Jeffery Broffman Md is an health care organization with primary practice located at 1144 Sonoma Ave #101, Santa Rosa CA 95405. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty.
Dr Jeff Broffman A Medical Corp can be contacted via phone (707) 526-7920, or through Knight, Nena via phone (707) 526-7920.
Contact Information
Primary practice address
1144 Sonoma Ave #101
Santa Rosa CA 95405
Phone: (707) 526-7920
Fax: (707) 526-0459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | G53420 | California |
Profile Details
| NPI number | 1346315181 |
|---|---|
| LBN Legal business name | Dr Jeff Broffman A Medical Corp |
| DBA Doing business as | Jeffery Broffman Md |
| Authorized official | Knight, Nena |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jul 25th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346315181 | NPPES |
| California | MEDICAID | 00G534200 |
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