Broderick, Mary Rachelle
Broderick, Mary Rachelle is an sole proprietor health care provider with primary practice located at 6419 Lake Rd , Appleton NY 14008-9606. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Broderick, Mary Rachelle can be contacted via phone (716) 297-0798.Contact Information
Primary practice address
6419 Lake Rd
Appleton NY 14008-9606
Phone: (716) 297-0798
Fax: (716) 297-0998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 016112-1 | New York |
Profile Details
| NPI number | 1134401490 |
|---|---|
| LBN Legal business name | Broderick, Mary Rachelle |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2011 |
| Last updated | Sep 13th, 2011 - about 14 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 | 1134401490 | NPPES |
| New York | Other | 016112-1 | NEW YORK STATE LICENSE |
Popular Providers
-
Tankersley, Russell K
8305 Walnut Hill Ln Ste 230, Dallas TX 75231-4260 -
Jacobi, Deborah
8960 Springbrook Dr Nw Suite 150, Coon Rapids MN 55433-5852 -
Straetz, Michele
2306 S Kinnickinnic Ave , Milwaukee WI 53207-1626 -
Jimenez, Jose Garcia
31835 Corte San Pablo , Winchester CA 92596 -
Prockelo, Kimberley K.
4175 S Alamo Ave , Dm Afb AZ 85707-6097 -
Mccoy, Hollie Elizabeth
Branch Health Clinic,Naval Amphibious Base,Little Creek 1035 Nider Blvd, Suite 100, Norfolk VA 23521-2731 -
Rogers, Denise
982 E Main St , Bridgeport CT 06608-1913 -
Roberson, Nekeia Remoan
Bldg. 277 Code 100D Naval Medical Center Portsmouth - N, Portsmouth VA 23709