Broderick, John Dennis

Broderick, John Dennis is an individual health care provider with primary practice located at 7755 Center Ave Ste 630 , Huntington Beach CA 92647-9152. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Broderick, John Dennis can be contacted via phone (657) 400-5180.

Contact Information

Primary practice address
7755 Center Ave Ste 630 Huntington Beach CA 92647-9152
Phone: (657) 400-5180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 210877-2 New York

Profile Details

NPI number 1588666424
LBN Legal business name Broderick, John Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Oct 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588666424 NPPES
New York MEDICAID 01862431

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