Brode, Anna R
Brode, Anna R is an individual health care provider with primary practice located at 50 Moisey Dr Ste 210 , Hazle Township PA 18202-9297. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Brode, Anna R can be contacted via phone (570) 501-6380.Contact Information
Primary practice address
50 Moisey Dr Ste 210
Hazle Township PA 18202-9297
Phone: (570) 501-6380
Fax: (570) 501-6389
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA055805 | Pennsylvania |
Profile Details
NPI number | 1972855674 |
---|---|
LBN Legal business name | Brode, Anna R |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 5th, 2012 |
Last updated | Jul 31st, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972855674 | NPPES |
Pennsylvania | MEDICAID | 103218100-0001 |
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