Broadrick, Bruce L
Broadrick, Bruce L is an individual health care provider with primary practice located at 706 S Thornton Ave Ste 3 , Dalton GA 30720-8212. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Broadrick, Bruce L can be contacted via phone (706) 250-0233.Contact Information
Primary practice address
706 S Thornton Ave Ste 3
Dalton GA 30720-8212
Phone: (706) 250-0233
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC011947 | Georgia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4163 | Tennessee |
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH022581 | Georgia |
Profile Details
| NPI number | 1841259710 |
|---|---|
| LBN Legal business name | Broadrick, Bruce L |
| Credentials | PHARMD., LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Sep 21st, 2021 - 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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