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Search › South Dakota › 225200000X

Jake Broscha

NPI 1205216082 · on the registry since 2015

Practice

Address
500 Vermillion St
Centerville, SD 57014
Phone
(605) 563-2251
Organisation at this address
Centerville Care & Rehab Center Inc
Centerville Development Corporation
The Evangelical Lutheran Good Samaritan Society
The Evangelical Lutheran Good Samaritan Society
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
SD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota