Broderick, Elizabeth
Broderick, Elizabeth is an individual health care provider with primary practice located at 23 Manhattan Square , Hampton VA 23666. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Broderick, Elizabeth can be contacted via phone (757) 595-0358.Contact Information
Primary practice address
23 Manhattan Square
Hampton VA 23666
Phone: (757) 595-0358
Fax: (757) 595-6745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101051725 | Virginia |
Profile Details
| NPI number | 1467457697 |
|---|---|
| LBN Legal business name | Broderick, Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Aug 28th, 2024 - about 2 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 | 1467457697 | NPPES |
| Virginia | MEDICAID | 6716962 |
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