Broadnax, Doreatha
Broadnax, Doreatha is an individual health care provider with primary practice located at 7410 S Broadway , Los Angeles CA 90003-2034. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Broadnax, Doreatha can be contacted via phone (323) 541-9016.Contact Information
Primary practice address
7410 S Broadway
Los Angeles CA 90003-2034
Phone: (323) 541-9016
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X |
Profile Details
| NPI number | 1093045189 |
|---|---|
| LBN Legal business name | Broadnax, Doreatha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2010 |
| Last updated | Jan 12th, 2010 - about 15 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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