Broadus, Kassius James

Broadus, Kassius James is an sole proprietor health care provider with primary practice located at 2457 Fairview Ave Apt 3 , Cincinnati OH 45219-4135. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Broadus, Kassius James can be contacted via phone (518) 596-9206.

Contact Information

Primary practice address
2457 Fairview Ave Apt 3 Cincinnati OH 45219-4135
Phone: (518) 596-9206
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1710751193
LBN Legal business name Broadus, Kassius James
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2023
Last updated Nov 7th, 2023 - about 3 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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