Broderick, Daniel John

Broderick, Daniel John is an sole proprietor health care provider with primary practice located at 3528 Chianti Cir , Murfreesboro TN 37129-4272. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Broderick, Daniel John can be contacted via phone (765) 808-1687.

Contact Information

Primary practice address
3528 Chianti Cir Murfreesboro TN 37129-4272
Phone: (765) 808-1687
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041132A Indiana

Profile Details

NPI number 1366635518
LBN Legal business name Broderick, Daniel John
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2007
Last updated Jan 31st, 2024 - about 8 months 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 1366635518 NPPES
Indiana MEDICAID 200532030A

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