Brodsky, Kenneth E
Brodsky, Kenneth E is an individual health care provider with primary practice located at 3 Willow Run , Auburn ME 04210-8501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brodsky, Kenneth E can be contacted via phone (207) 795-6800.Contact Information
Primary practice address
3 Willow Run
Auburn ME 04210-8501
Phone: (207) 795-6800
Fax: (207) 795-6140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1284 | Maine |
Profile Details
| NPI number | 1134159593 |
|---|---|
| LBN Legal business name | Brodsky, Kenneth E |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Nov 8th, 2022 - about 3 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 | 1134159593 | NPPES |
| Maine | MEDICAID | 289220099 |
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