Broadway, Cassandra

Broadway, Cassandra is an sole proprietor health care provider with primary practice located at 2280 San Pablo Ave , Oakland CA 94612-1321. She recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as her primary health care specialty. Broadway, Cassandra can be contacted via phone (510) 807-4390.

Contact Information

Primary practice address
2280 San Pablo Ave Oakland CA 94612-1321
Phone: (510) 807-4390
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1124724463
LBN Legal business name Broadway, Cassandra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2023
Last updated Feb 7th, 2023 - about 2 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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