| Broadview Health, Pa | |
|
349 Venus St Monroe NC 28112-4025 | |
| (704) 635-7418 | |
| (704) 635-7500 |
| Full Name | Broadview Health, Pa |
|---|---|
| Speciality | Clinic/center - Sleep Disorder Diagnostic |
| Location | 349 Venus St, Monroe, North Carolina |
| Authorized Official Name and Position | Rasheed Adeyinka Onafuye (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3363546126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadview Health, Pa 200 E Jefferson St Monroe NC 28112-4863 Ph: (336) 354-6126 | Broadview Health, Pa 349 Venus St Monroe NC 28112-4025 Ph: (704) 635-7418 |
| NPI Number | 1528317815 |
|---|---|
| Provider Enumeration Date | 09/03/2012 |
| Last Update Date | 08/26/2021 |
| Certification Date | 08/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528317815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 261QS1200X | Clinic/center - Sleep Disorder Diagnostic | 2009-00832 (North Carolina) | Primary |
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