Broderick, John Scott
Broderick, John Scott is an individual health care provider with primary practice located at 13133 N Port Washington Rd Suite G06, Mequon WI 53097-2419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Neurophysiology, which is considered as his primary health care specialty. Broderick, John Scott can be contacted via phone (262) 243-8371.Contact Information
Primary practice address
13133 N Port Washington Rd Suite G06
Mequon WI 53097-2419
Phone: (262) 243-8371
Fax: (262) 243-8342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 46762-020 | Wisconsin |
Profile Details
| NPI number | 1508939976 |
|---|---|
| LBN Legal business name | Broderick, John Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jun 8th, 2012 - about 12 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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