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Contact Information

EMILIE K BROUGH, DOM
2074 GALISTEO ST
UNIT A2
SANTA FE, NM87505
 Phone: 505-989-7418
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for EMILIE K BROUGH · (Female)

NPI # 1699960443
Status Active
Credentials DOM
Entity Individual
Enumeration date 09/13/2007
Last updated 06/14/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 1007
  • NM License # 3206
Hospital affiliation(s) Not Available
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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