Brodale, Sean D

Brodale, Sean D is an sole proprietor health care provider with primary practice located at 18754 Us Highway 63 , Bloomfield IA 52537-6803. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Brodale, Sean D can be contacted via phone (641) 664-1799.

Contact Information

Primary practice address
18754 Us Highway 63 Bloomfield IA 52537-6803
Phone: (641) 664-1799
Fax: (641) 664-1663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 3485 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3485 Iowa

Profile Details

NPI number 1629029822
LBN Legal business name Brodale, Sean D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Jan 22nd, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629029822 NPPES
Missouri MEDICAID 209029206
Missouri MEDICAID 2424325

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