Broderick, John Scott

Broderick, John Scott is an individual health care provider with primary practice located at 13133 N Port Washington Rd Suite G06, Mequon WI 53097-2419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Neurophysiology, which is considered as his primary health care specialty. Broderick, John Scott can be contacted via phone (262) 243-8371.

Contact Information

Primary practice address
13133 N Port Washington Rd Suite G06 Mequon WI 53097-2419
Phone: (262) 243-8371
Fax: (262) 243-8342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 46762-020 Wisconsin

Profile Details

NPI number 1508939976
LBN Legal business name Broderick, John Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jun 8th, 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.

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