Van Den Broek, Jeffery Wayne

Van Den Broek, Jeffery Wayne is an individual health care provider with primary practice located at 10710 Charter Dr Suite 110, Columbia MD 21044-3128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Van Den Broek, Jeffery Wayne can be contacted via phone (410) 992-9797.

Contact Information

Primary practice address
10710 Charter Dr Suite 110 Columbia MD 21044-3128
Fax: (410) 730-0942
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X DOS-945 Hawaii
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X H0075616 Maryland

Profile Details

NPI number 1033180187
LBN Legal business name Van Den Broek, Jeffery Wayne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Feb 19th, 2024 - about 2 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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