Broderick, George Steven

Broderick, George Steven is an sole proprietor health care provider with primary practice located at 5500 Verulam Ave , Cincinnati OH 45213-2418. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Broderick, George Steven can be contacted via phone (440) 523-9966.

Contact Information

Primary practice address
5500 Verulam Ave Cincinnati OH 45213-2418
Phone: (440) 523-9966
Fax: (216) 584-2895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 34007182 Ohio
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 34007182 Ohio

Profile Details

NPI number 1578625208
LBN Legal business name Broderick, George Steven
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1578625208 NPPES
West Virginia MEDICAID 1578625208

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