Broderick, Christine
Broderick, Christine is an sole proprietor health care provider with primary practice located at 700C Lake St , Ramsey NJ 07446-1372. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Broderick, Christine can be contacted via phone (201) 962-7454.Contact Information
Primary practice address
700C Lake St
Ramsey NJ 07446-1372
Phone: (201) 962-7454
Fax: (201) 962-7455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1235249798 |
|---|---|
| LBN Legal business name | Broderick, Christine |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jan 4th, 2012 - about 14 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 | 1235249798 | NPPES |
| New Jersey | Other | 40QA00928600 | LICENSE # |
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