Broderick, Jennifer L
Broderick, Jennifer L is an individual health care provider with primary practice located at 79 W Main St , Lexington OH 44904-1113. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Broderick, Jennifer L can be contacted via phone (419) 884-1302.Contact Information
Primary practice address
79 W Main St
Lexington OH 44904-1113
Phone: (419) 884-1302
Fax: (419) 884-8398
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Contractor | 171W00000X | 2539088 | Ohio |
Profile Details
NPI number | 1144258807 |
---|---|
LBN Legal business name | Broderick, Jennifer L |
Credentials | CAREGIVER |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 29th, 2006 |
Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144258807 | NPPES |
Ohio | MEDICAID | 2539088 |
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