Brodeur, Keith
Brodeur, Keith is an sole proprietor health care provider with primary practice located at 230 Maple St , Holyoke MA 01040-5144. He recently has only one registered license in Nursing Service Providers / Community Health, which is considered as his primary health care specialty. Brodeur, Keith can be contacted via phone (413) 420-2200.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Community Health | 163WC1500X | RN2305966 | Massachusetts |
Profile Details
| NPI number | 1053764290 |
|---|---|
| LBN Legal business name | Brodeur, Keith |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2016 |
| Last updated | Jul 22nd, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053764290 | NPPES |
| Massachusetts | MEDICAID | 110027773 |
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