Broadnax, Edwin Charles

Broadnax, Edwin Charles is an sole proprietor health care provider with primary practice located at 3801 University Avenue, Suite 400 , Riverside CA 92501. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Broadnax, Edwin Charles can be contacted via phone (951) 955-7108.

Contact Information

Primary practice address
3801 University Avenue, Suite 400 Riverside CA 92501
Phone: (951) 955-7108
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 104100000X California

Profile Details

NPI number 1518248640
LBN Legal business name Broadnax, Edwin Charles
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2011
Last updated Sep 2nd, 2011 - about 14 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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