Broderick, Emma Penelope
Broderick, Emma Penelope is an sole proprietor health care provider with primary practice located at 1211 James Ave , Saint Paul MN 55105-2920. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Broderick, Emma Penelope can be contacted via phone (651) 295-8536.Contact Information
Primary practice address
1211 James Ave
Saint Paul MN 55105-2920
Phone: (651) 295-8536
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 1791 | Minnesota |
Profile Details
| NPI number | 1922512805 |
|---|---|
| LBN Legal business name | Broderick, Emma Penelope |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2017 |
| Last updated | Jun 26th, 2019 - about 7 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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