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ROSEMARY TEN BROEK NPI 1104952654


NPI Information

NPI: 1104952654
Provider Name: ROSEMARY TEN BROEK

Doing Business As: INTERNATIONAL MEDICAL SPECIALTIES

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
34 W PACIFIC AVE
HENDERSON, NV
ZIP 89015
Phone: (702) 567-3522
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ROSEMARY TEN BROEK is a durable medical equipment medical supplies in Henderson, NV. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ROSEMARY TEN BROEK NPI is 1104952654. The provider is registered as an organization entity type.
The provider Is Doing Business As International Medical Specialties.

The provider's business location address is:

34 W PACIFIC AVE
HENDERSON, NV
ZIP 89015-306
Phone: (702) 567-3522
Fax: (702) 567-8022

The provider's authorized official is Rosemary Ten Broek .
The authorized official title is Owner Ceo and has the following contact phone number (702) 567-3522.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 6/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003302437MEDICAIDNEVADA
20260560001MEDICARE ID-TYPE UNSPECIFIEDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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