Broadway, Susan

Broadway, Susan is an individual health care provider with primary practice located at 1 Cyclotron Rd Ms26R0143, Berkeley CA 94720-8099. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Occupational Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Broadway, Susan can be contacted via phone (510) 486-6951.

Contact Information

Primary practice address
1 Cyclotron Rd Ms26R0143 Berkeley CA 94720-8099
Phone: (510) 486-6951
Fax: (510) 486-7192
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 332697 California
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X 332697 California

Profile Details

NPI number 1154708956
LBN Legal business name Broadway, Susan
Credentials R.N., N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2015
Last updated Apr 30th, 2015 - about 9 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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