Rosemary Ten Broek

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ROSEMARY TEN BROEK

Practice address

34 W Pacific Ave
Henderson, NV 89015-7306

Phone

(702) 567-3522

Fax

(702) 567-8022

NPI assigned

Feb 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rosemary Ten Broek

Title

Owner Ceo

Phone

(702) 567-3522

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• International Medical Specialties Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1104952654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 W PACIFIC AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157306",
            "telephone_number": "702-567-3522",
            "fax_number": "702-567-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 W PACIFIC AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157306",
            "telephone_number": "702-567-3522",
            "fax_number": "702-567-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMARY TEN BROEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "TEN BROEK",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "702-567-3522"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003302437",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "International Medical Specialties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Rose
• Paige Rose
• Roseman University of Health Sciences
• Roseman University of Health Sciences, a Nevada Non-Profit Corp
• Roseman University of Health Sciences, a Nevada Non-Profit Organization
• Alexandra E Rosen
• Linda Rosenberg, P.A.-C.
• Leslee Rosenlof, DPT
• Cynthia Kae Rosenow, RD, CD
• Jonathan M Rosenstein, M.D.

• Durable Medical Equipment & Medical Supplies in Henderson, NV
• Providers in Henderson, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.