Broderick, Thaddeus

Broderick, Thaddeus is an sole proprietor health care provider with primary practice located at 8102 Englewood Rd , Indianapolis IN 46240-2749. He 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 his primary health care specialty. Broderick, Thaddeus can be contacted via phone (317) 473-7489.

Contact Information

Primary practice address
8102 Englewood Rd Indianapolis IN 46240-2749
Phone: (317) 473-7489
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 76141 Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 76141 Indiana

Profile Details

NPI number 1639561012
LBN Legal business name Broderick, Thaddeus
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2015
Last updated Feb 23rd, 2015 - about 9 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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