Mr Zachary John Broach, LMT is a
Massage Therapist based in Prince Frederick, Maryland. Mr Zachary John Broach is licensed to practice in Virginia (license number 0019018293) and his current practice location is
2795 Adelina Rd, Prince Frederick, Maryland. He can be reached at his office (for appointments etc.) via phone at
(410) 610-9911.
NPI number for Mr Zachary John Broach is 1659949451 and his current mailing address is 2795 Adelina Rd, Prince Frederick, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659949451.
Healthcare Provider's Profile
Full Name | Mr Zachary John Broach |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 2795 Adelina Rd, Prince Frederick, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659949451
- Provider Enumeration Date: 06/16/2021
- Last Update Date: 06/16/2021
Medical Identifiers
Medical identifiers for Mr Zachary John Broach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659949451 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 0019018293 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Zachary John Broach is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Zachary John Broach, LMT 2795 Adelina Rd, Prince Frederick, MD 20678-4700 Ph: (410) 610-9911 | Mr Zachary John Broach, LMT 2795 Adelina Rd, Prince Frederick, MD 20678-4700 Ph: (410) 610-9911 |
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