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Contact Information

BROADUS INTERNATIONAL GROUP NETWORK, LLC
110 COLISEUM CROSSING
#5050
HAMPTON, VA23666-5971
 Phone: 757-785-4424
 Fax: 757-785-4424
 Website:
Indicates primary specialty

NPI Profile & details for BROADUS INTERNATIONAL GROUP NETWORK, LLC

NPI # 1295253805
LBN Legal business name BROADUS INTERNATIONAL GROUP NETWORK, LLC
Authorized official KATESHA BROADUS - (CEO/FOUNDER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/03/2017
Last updated 11/03/2023 - About 3 years ago
Identifiers
VA License # S6963161
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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