Broderick, Susan Clare
Broderick, Susan Clare is an sole proprietor health care provider with primary practice located at 11973 Camp Eden Rd , Golden CO 80403-8606. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Broderick, Susan Clare can be contacted via phone (303) 378-6914.Contact Information
Primary practice address
11973 Camp Eden Rd
Golden CO 80403-8606
Phone: (303) 378-6914
Fax: (303) 642-7659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 17755034 | Colorado |
Profile Details
| NPI number | 1750504890 |
|---|---|
| LBN Legal business name | Broderick, Susan Clare |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1750504890 | NPPES |
| Colorado | Other | 0287715 | CDE TEACHER LICENSE |
| Colorado | MEDICAID | 17755034 | CDE TEACHER LICENSE |
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