Broadnax, Scott
Broadnax, Scott is an sole proprietor health care provider with primary practice located at 8063 Madison Ave # 246 , Indianapolis IN 46227-6001. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Broadnax, Scott can be contacted via phone (317) 750-0435.Contact Information
Primary practice address
8063 Madison Ave # 246
Indianapolis IN 46227-6001
Phone: (317) 750-0435
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1053715284 |
|---|---|
| LBN Legal business name | Broadnax, Scott |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2014 |
| Last updated | Oct 17th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053715284 | NPPES |
| Indiana | MEDICAID | 201132640 A |
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