Broderick, Amy

Broderick, Amy is an sole proprietor health care provider with primary practice located at 707 N Cardinal Dr Ste 7 , Mountain Home AR 72653-3274. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Day Training/Habilitation Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Broderick, Amy can be contacted via phone (870) 425-5644.

Contact Information

Primary practice address
707 N Cardinal Dr Ste 7 Mountain Home AR 72653-3274
Phone: (870) 425-5644
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1659608347
LBN Legal business name Broderick, Amy
Credentials QBHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2009
Last updated Sep 17th, 2019 - about 5 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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