Broderick, Melissa Marie

Broderick, Melissa Marie is an individual health care provider with primary practice located at 70 East St , Methuen MA 01844-4597. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Broderick, Melissa Marie can be contacted via phone (978) 687-0156.

Contact Information

Primary practice address
70 East St Methuen MA 01844-4597
Phone: (978) 687-0156
Fax: (978) 687-9392
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2696 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA4137 Massachusetts

Profile Details

NPI number 1144392234
LBN Legal business name Broderick, Melissa Marie
Credentials D.C., PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Dec 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144392234 NPPES
Massachusetts Other Y37019 BCBS
Massachusetts Other 3456328 BCBS

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