Broddus, Robert W

Broddus, Robert W is an individual health care provider with primary practice located at 1101 Camden Ave Salisbury University, Salisbury MD 21801-6837. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Broddus, Robert W can be contacted via phone (410) 543-6355.

Contact Information

Primary practice address
1101 Camden Ave Salisbury University Salisbury MD 21801-6837
Phone: (410) 543-6355
Fax: (410) 546-2639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X A0000758 Maryland

Profile Details

NPI number 1407203060
LBN Legal business name Broddus, Robert W
Credentials LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2016
Last updated May 24th, 2016 - about 8 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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