Brodhead, Roderick Scott
Brodhead, Roderick Scott is an sole proprietor health care provider with primary practice located at W129N7055 Northfield Dr , Menomonee Falls WI 53051-0538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Brodhead, Roderick Scott can be contacted via phone (262) 253-5400.Contact Information
Primary practice address
W129N7055 Northfield Dr
Menomonee Falls WI 53051-0538
Phone: (262) 253-5400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 26539 | Wisconsin |
Profile Details
| NPI number | 1356384564 |
|---|---|
| LBN Legal business name | Brodhead, Roderick Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jun 25th, 2020 - about 6 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 | 1356384564 | NPPES |
| Wisconsin | MEDICAID | 32084900 |
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