Broadnax, Walter G

Broadnax, Walter G is an sole proprietor health care provider with primary practice located at 5505 Fair Ln , Cincinnati OH 45227-3401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Broadnax, Walter G can be contacted via phone (513) 421-7246.

Contact Information

Primary practice address
5505 Fair Ln Cincinnati OH 45227-3401
Phone: (513) 421-7246
Fax: (513) 421-7796
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X 35060685 Ohio

Profile Details

NPI number 1003940032
LBN Legal business name Broadnax, Walter G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Jul 9th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003940032 NPPES
Ohio MEDICAID 0860917

Popular Providers