Broaderick, Arthur Paul

Broaderick, Arthur Paul is an sole proprietor health care provider with primary practice located at 2190 Highway 85 N , Niceville FL 32578-1045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Broaderick, Arthur Paul can be contacted via phone (352) 867-8898.

Contact Information

Primary practice address
2190 Highway 85 N Niceville FL 32578-1045
Phone: (352) 867-8898
Fax: (352) 732-6282
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME69348 Florida

Profile Details

NPI number 1922104678
LBN Legal business name Broaderick, Arthur Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Aug 12th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922104678 NPPES
Florida MEDICAID 379870400
Florida Other 28253
Florida Other 050074614
Florida Other 28253X

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