Broderson, Shannon Marie

Broderson, Shannon Marie is an sole proprietor health care provider with primary practice located at 74-5620 Palani Rd Suite 102, Kailua Kona HI 96740-3640. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Broderson, Shannon Marie can be contacted via phone (808) 329-7797.

Contact Information

Primary practice address
74-5620 Palani Rd Suite 102 Kailua Kona HI 96740-3640
Phone: (808) 329-7797
Fax: (808) 329-2748
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC977 Hawaii

Profile Details

NPI number 1194888552
LBN Legal business name Broderson, Shannon Marie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated Jun 15th, 2023 - about 3 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 1194888552 NPPES
Hawaii Other 244327 HMSA NUMBER
Hawaii Other H56328 HMSA NUMBER

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