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Contact Information

TEODORA BROSE
131 JONES ST
APPOMATTOX, VA24522
 Phone: 434-352-8235
 Fax: 434-352-5532
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TEODORA BROSE · (Female)

NPI # 1730594029
Status Active
Credentials
Entity Individual
Enumeration date 06/25/2014
Last updated 08/14/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0101261264
  • VA Other 207Q00000X FAMILY MEDICINE
Hospital affiliation(s)
  • CENTRA HEALTH INC - (Acute Care)
    1920 ATHERHOLT ROAD
    LYNCHBURG, VA 24501
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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