Broderick, Madison Mackenzie

Broderick, Madison Mackenzie is an sole proprietor health care provider with primary practice located at 901 S National Ave # Prof160 , Springfield MO 65897-0027. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Broderick, Madison Mackenzie can be contacted via phone (417) 836-8553.

Contact Information

Primary practice address
901 S National Ave # Prof160 Springfield MO 65897-0027
Phone: (417) 836-8553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1740910868
LBN Legal business name Broderick, Madison Mackenzie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2022
Last updated Jun 16th, 2022 - about 2 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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