Brod, Jennifer S.

Brod, Jennifer S. is an individual health care provider with primary practice located at 655 Walnut St , West Reading PA 19611-1242. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brod, Jennifer S. can be contacted via phone (610) 372-9222.

Contact Information

Primary practice address
655 Walnut St West Reading PA 19611-1242
Phone: (610) 372-9222
Fax: (610) 372-0232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD042286E Pennsylvania

Profile Details

NPI number 1619035011
LBN Legal business name Brod, Jennifer S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Jun 6th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619035011 NPPES
Pennsylvania MEDICAID 001227073

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