Herchline, Marylynn Broderick
Herchline, Marylynn Broderick is an individual health care provider with primary practice located at 9000 North Main Street Suite 332, Dayton OH 45415-1185. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Herchline, Marylynn Broderick can be contacted via phone (937) 832-7337.Contact Information
Primary practice address
9000 North Main Street Suite 332
Dayton OH 45415-1185
Phone: (937) 832-7337
Fax: (937) 832-4817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 35057027 | Ohio |
Profile Details
| NPI number | 1295811412 |
|---|---|
| LBN Legal business name | Herchline, Marylynn Broderick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1295811412 | NPPES |
| Other | 1220651 | UNITED HEALTHCARE | |
| Other | 0709602 | UNITED HEALTHCARE | |
| Other | 311627276032 | UNITED HEALTHCARE | |
| MEDICAID | 0709602 | UNITED HEALTHCARE | |
| Other | 1220651 | UNITED HEALTHCARE | |
| Other | 000000037311 | UNITED HEALTHCARE |
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