Brodine, William N

Brodine, William N is an individual health care provider with primary practice located at 3200 Ne Ralph Powell Rd , Lees Summit MO 64064-2301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Brodine, William N can be contacted via phone (816) 525-1600.

Contact Information

Primary practice address
3200 Ne Ralph Powell Rd Lees Summit MO 64064-2301
Phone: (816) 525-1600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X R3E15 Missouri
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 0419969 Kansas

Profile Details

NPI number 1215981691
LBN Legal business name Brodine, William N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Apr 1st, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215981691 NPPES
Other 10071014 PHP FREEDOM
Other 431092652 A020 PHP FREEDOM
Other 10071014 PHP FREEDOM
MEDICAID 1215981691 PHP FREEDOM
Other 10071014 PHP FREEDOM
Other 0004626639 PHP FREEDOM
Other 060013888 PHP FREEDOM
Other 0004626639 PHP FREEDOM
Other 0004626639 PHP FREEDOM

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