Broadwell, Jeffrey

Broadwell, Jeffrey is an individual health care provider with primary practice located at 720 Gracern Rd Ste 115 , Columbia SC 29210-7658. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Broadwell, Jeffrey can be contacted via phone (803) 509-6256.

Contact Information

Primary practice address
720 Gracern Rd Ste 115 Columbia SC 29210-7658
Phone: (803) 509-6256
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X

Profile Details

NPI number 1518713064
LBN Legal business name Broadwell, Jeffrey
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2024
Last updated Apr 25th, 2024 - about 8 months 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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