Broders, Renae Marie
Broders, Renae Marie is an individual health care provider with primary practice located at 2700 W Norfolk Ave , Norfolk NE 68701. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Broders, Renae Marie can be contacted via phone (402) 371-4880.Contact Information
Primary practice address
2700 W Norfolk Ave
Norfolk NE 68701
Phone: (402) 371-4880
Fax: (402) 844-8129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 785 | Nebraska |
Profile Details
| NPI number | 1669531620 |
|---|---|
| LBN Legal business name | Broders, Renae Marie |
| Credentials | RD, LMNT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1669531620 | NPPES |
| Nebraska | MEDICAID | 47079687563 |
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