Broderson, Jesse

Broderson, Jesse is an individual health care provider with primary practice located at 74-5620 Palani Rd Ste A Suite 102, Kailua Kona HI 96740-3640. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Broderson, Jesse can be contacted via phone (808) 329-7797.

Contact Information

Primary practice address
74-5620 Palani Rd Ste A Suite 102 Kailua Kona HI 96740-3640
Phone: (808) 329-7797
Fax: (808) 329-2748
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 978 Hawaii

Profile Details

NPI number 1487738852
LBN Legal business name Broderson, Jesse
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jan 8th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487738852 NPPES
Hawaii Other 244335 HMSA PIN NUMBER

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