Broudy, Corrie D
Broudy, Corrie D is an individual health care provider with primary practice located at 300 Fir St , San Diego CA 92101-2327. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Broudy, Corrie D can be contacted via phone (619) 446-1539.Contact Information
Primary practice address
300 Fir St
San Diego CA 92101-2327
Phone: (619) 446-1539
Fax: (619) 446-1569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | A82832 | California |
Profile Details
| NPI number | 1558467514 |
|---|---|
| LBN Legal business name | Broudy, Corrie D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jan 10th, 2014 - about 10 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 | 1558467514 | NPPES |
| Other | FHC18880F | MEDI CAL |
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