Brodie, Fred Joseph

Brodie, Fred Joseph is an sole proprietor health care provider with primary practice located at 2930 Tarawa Rd , San Diego CA 92155-5198. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Brodie, Fred Joseph can be contacted via phone (619) 437-5962.

Contact Information

Primary practice address
2930 Tarawa Rd San Diego CA 92155-5198
Phone: (619) 437-5962
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1649517921
LBN Legal business name Brodie, Fred Joseph
Credentials DIVE IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2013
Last updated Jan 7th, 2013 - about 11 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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