Rothe, Nalda Brodegaard
Rothe, Nalda Brodegaard is an sole proprietor health care provider with primary practice located at 3 Apaucuck Cove Ln , Westhampton NY 11977-1537. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Rothe, Nalda Brodegaard can be contacted via phone (917) 748-0644.Contact Information
Primary practice address
3 Apaucuck Cove Ln
Westhampton NY 11977-1537
Phone: (917) 748-0644
Fax: (631) 288-2641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 242133-1 | New York |
Profile Details
| NPI number | 1063696037 |
|---|---|
| LBN Legal business name | Rothe, Nalda Brodegaard |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2007 |
| Last updated | Jan 15th, 2008 - about 16 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 | 1063696037 | NPPES |
| Other | 11588679 | CAQH |
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