Mader, Brooke Amelia

Mader, Brooke Amelia is an sole proprietor health care provider with primary practice located at 414 2Nd St Apt 330 , Hermosa Beach CA 90254-4610. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Mader, Brooke Amelia can be contacted via phone (301) 996-2927.

Contact Information

Primary practice address
414 2Nd St Apt 330 Hermosa Beach CA 90254-4610
Phone: (301) 996-2927
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1740830843
LBN Legal business name Mader, Brooke Amelia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2019
Last updated May 27th, 2020 - about 5 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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