Broder-Oldach, Richard E.

Broder-Oldach, Richard E. is an individual health care provider with primary practice located at 150 Health Partner Circle , Mount Orab OH 45154-9422. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Broder-Oldach, Richard E. can be contacted via phone (937) 444-2514.

Contact Information

Primary practice address
150 Health Partner Circle Mount Orab OH 45154-9422
Phone: (937) 444-2514
Fax: (937) 444-4818
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34006887 Ohio

Profile Details

NPI number 1689679326
LBN Legal business name Broder-Oldach, Richard E.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2005
Last updated Sep 10th, 2020 - about 6 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 1689679326 NPPES
Ohio Other 080076704 RAILROAD
Ohio MEDICAID 2066642 RAILROAD

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