Broderson, Stephanie O.
Broderson, Stephanie O. is an individual health care provider with primary practice located at 4405 E 26Th St , Sioux Falls SD 57103-4187. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Broderson, Stephanie O. can be contacted via phone (605) 328-9000.Contact Information
Primary practice address
4405 E 26Th St
Sioux Falls SD 57103-4187
Phone: (605) 328-9000
Fax: (605) 328-9001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4547 | South Dakota |
Profile Details
| NPI number | 1437154606 |
|---|---|
| LBN Legal business name | Broderson, Stephanie O. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Mar 31st, 2022 - about 2 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 | 1437154606 | NPPES |
| South Dakota | MEDICAID | 5610682 |
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