Broderick, Christopher Matthew

Broderick, Christopher Matthew is an individual health care provider with primary practice located at 1977 Niles Rd Se , Warren OH 44484-5118. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Broderick, Christopher Matthew can be contacted via phone (330) 747-9551.

Contact Information

Primary practice address
1977 Niles Rd Se Warren OH 44484-5118
Phone: (330) 747-9551
Fax: (330) 884-6120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 12853-NP Ohio

Profile Details

NPI number 1831466549
LBN Legal business name Broderick, Christopher Matthew
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2011
Last updated Mar 17th, 2018 - about 6 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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