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Contact Information

STEVEN E BROOMHEAD JR, DO
600 JOHN DEERE RD
SUITE 301
MOLINE, IL61265-6869
 Phone: 309-779-4850
 Fax: 309-779-4855
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for STEVEN E BROOMHEAD JR · (Male)

NPI Number 1689838823
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/16/2008
Last updated 02/05/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101017796
  • IL Other P01253519 RR MEDICARE
Hospital affiliation(s)
  • TRINITY ROCK ISLAND - (Acute Care)
    2701 17TH ST
    ROCK ISLAND, IL 61201
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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