Broderick, Timothy
Broderick, Timothy is an individual health care provider with primary practice located at 222 Piedmont Ave Ste. 7000, Cincinnati OH 45219-4231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Broderick, Timothy can be contacted via phone (513) 475-8787.Contact Information
Primary practice address
222 Piedmont Ave Ste. 7000
Cincinnati OH 45219-4231
Phone: (513) 475-8787
Fax: (513) 475-7348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35-083461 | Ohio |
Profile Details
| NPI number | 1902874928 |
|---|---|
| LBN Legal business name | Broderick, Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Feb 2nd, 2010 - about 16 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 | 1902874928 | NPPES |
| Ohio | MEDICAID | 2439141 |
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