Broder, Jeffrey N

Broder, Jeffrey N is an sole proprietor health care provider with primary practice located at 1201 West Ave , North Augusta SC 29841-3350. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Broder, Jeffrey N can be contacted via phone (803) 279-1030.

Contact Information

Primary practice address
1201 West Ave North Augusta SC 29841-3350
Phone: (803) 279-1030
Fax: (803) 278-1344
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 15157 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15157 South Carolina
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 15157 South Carolina

Profile Details

NPI number 1992799563
LBN Legal business name Broder, Jeffrey N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2005
Last updated May 27th, 2010 - about 14 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 1992799563 NPPES
South Carolina MEDICAID G30017

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