Broadfield, Charles S.

Broadfield, Charles S. is an sole proprietor health care provider with primary practice located at 5750 Chesapeake Blvd Ste 105, Norfolk VA 23513-5325. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Broadfield, Charles S. can be contacted via phone (757) 853-1409.

Contact Information

Primary practice address
5750 Chesapeake Blvd Ste 105 Norfolk VA 23513-5325
Phone: (757) 853-1409
Fax: (757) 853-0825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X NAADAC CERT #013537 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717000492 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701000320 Virginia

Profile Details

NPI number 1740215201
LBN Legal business name Broadfield, Charles S.
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Jul 9th, 2007 - about 18 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 1740215201 NPPES
Other 170089 COMPSY
Other 040416 COMPSY
Other 62-91986 COMPSY
Other 212164-312164 COMPSY
Other 80176 COMPSY

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