Broadnax, Delesa R
Broadnax, Delesa R is an sole proprietor health care provider with primary practice located at 5122 Glencrossing Way , Cincinnati OH 45238-3361. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Broadnax, Delesa R can be contacted via phone (513) 827-9044.Contact Information
Primary practice address
5122 Glencrossing Way
Cincinnati OH 45238-3361
Phone: (513) 827-9044
Fax: (513) 832-1332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | PN156549 | Ohio |
Profile Details
| NPI number | 1235808213 |
|---|---|
| LBN Legal business name | Broadnax, Delesa R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2021 |
| Last updated | Sep 13th, 2021 - about 4 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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