Broadway, Carol
Broadway, Carol is an individual health care provider with primary practice located at 1600 Nashville Hwy , Columbia TN 38401-1004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Broadway, Carol can be contacted via phone (931) 388-8965.Contact Information
Primary practice address
1600 Nashville Hwy
Columbia TN 38401-1004
Phone: (931) 388-8965
Fax: (931) 840-8520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD21974 | Tennessee |
Profile Details
| NPI number | 1407966096 |
|---|---|
| LBN Legal business name | Broadway, Carol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Mar 11th, 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 | 1407966096 | NPPES |
| Tennessee | MEDICAID | 3068974 |
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