Broadwell, Michael D
Broadwell, Michael D is an individual health care provider with primary practice located at 3535 40Th Ave Nw Ste 210 , Rochester MN 55901-1769. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Broadwell, Michael D can be contacted via phone (507) 516-0227.Contact Information
Primary practice address
3535 40Th Ave Nw Ste 210
Rochester MN 55901-1769
Phone: (507) 516-0227
Fax: (507) 516-0228
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP6869 | Minnesota |
Profile Details
NPI number | 1053645119 |
---|---|
LBN Legal business name | Broadwell, Michael D |
Credentials | PSY.D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 22nd, 2009 |
Last updated | Dec 12th, 2022 - 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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