Individual provider · NPI-1
Broch Anthony
Home Health Aide · Portsmouth, OH
NPI number1043069040
StatusActive
Last updated in NPPESMay 14, 2024
Details
- NPI
- 1043069040
- Entity type
- Individual (NPI-1)
- Name
- Broch Anthony
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 14, 2024
- Certification date
- May 14, 2024
- Last updated
- May 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
1623 Mound StPortsmouth, OH 45662-3713
Phone 740-727-2203
Mailing address
1623 Mound StPortsmouth, OH 45662-3713
Phone 740-727-2203
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