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Contact Information

CHARLES A BROBERG, DC, PA,
1600 W 22ND ST
SIOUX FALLS, SD57105-1521
 Phone: 605-312-1000
 Fax: 605-312-1001
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHARLES A BROBERG · (Male)

NPI # 1073672481
Status Active
Credentials DC, PA,
Entity Individual
Enumeration date 12/08/2006
Last updated 06/22/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 0922
  • SD Medicaid 7604240
  • ND Other BR021953 BCBS
  • SD Other 0005375 BCBS
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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