Broderick, Mandy Irene
Broderick, Mandy Irene is an individual health care provider with primary practice located at Uss Jason Dunham Ddg 109 , Fpo AE 09567-1303. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Broderick, Mandy Irene can be contacted via phone (757) 445-6115.Contact Information
Primary practice address
Uss Jason Dunham Ddg 109
Fpo AE 09567-1303
Phone: (757) 445-6115
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1497018014 |
|---|---|
| LBN Legal business name | Broderick, Mandy Irene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2012 |
| Last updated | Jun 19th, 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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