Broomfield, Keaundria Shaquille
Broomfield, Keaundria Shaquille is an sole proprietor health care provider with primary practice located at 116 Savannah Ave , Statesboro GA 30458-4801. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Broomfield, Keaundria Shaquille can be contacted via phone (912) 243-9200.Contact Information
Primary practice address
116 Savannah Ave
Statesboro GA 30458-4801
Phone: (912) 243-9200
Fax: (912) 243-9207
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT012945 | Georgia |
Profile Details
| NPI number | 1215548391 |
|---|---|
| LBN Legal business name | Broomfield, Keaundria Shaquille |
| Credentials | Medical Technologist (MT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2020 |
| Last updated | Aug 12th, 2020 - about 4 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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