Broderson, Jennifer Diane

Broderson, Jennifer Diane is an sole proprietor health care provider with primary practice located at 74-5620 Palani Rd Suite 102, Kailua Kona HI 96740-3640. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Broderson, Jennifer Diane can be contacted via phone (808) 329-7797.

Contact Information

Primary practice address
74-5620 Palani Rd Suite 102 Kailua Kona HI 96740-3640
Phone: (808) 329-7797
Fax: (808) 329-2748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MAT10080 Hawaii

Profile Details

NPI number 1437313046
LBN Legal business name Broderson, Jennifer Diane
Credentials L.M.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2008
Last updated Jul 12th, 2008 - about 18 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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