Broadnax, Qiana M

Broadnax, Qiana M is an individual health care provider with primary practice located at 1900 N Howard St Ste 300 , Baltimore MD 21218-5909. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Broadnax, Qiana M can be contacted via phone (443) 438-6742.

Contact Information

Primary practice address
1900 N Howard St Ste 300 Baltimore MD 21218-5909
Phone: (443) 438-6742
Fax: (443) 773-5624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 19372 Maryland

Profile Details

NPI number 1487135562
LBN Legal business name Broadnax, Qiana M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2018
Last updated Aug 25th, 2023 - about 3 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 1487135562 NPPES
Maryland MEDICAID 38-3876389

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