Broder, Ethan Paul

Broder, Ethan Paul is an individual health care provider with primary practice located at 1101 Stanford Dr , Coral Gables FL 33146-2001. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Broder, Ethan Paul can be contacted via phone (203) 885-6489.

Contact Information

Primary practice address
1101 Stanford Dr Coral Gables FL 33146-2001
Phone: (203) 885-6489
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1831602184
LBN Legal business name Broder, Ethan Paul
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2017
Last updated Nov 8th, 2017 - about 7 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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