Brodsky, Paul
Brodsky, Paul is an sole proprietor health care provider with primary practice located at 12555 State Highway 14 N San Antonito Es, Sandia Park NM 87047-9308. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Brodsky, Paul can be contacted via phone (505) 281-3931.Contact Information
Primary practice address
12555 State Highway 14 N San Antonito Es
Sandia Park NM 87047-9308
Phone: (505) 281-3931
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 962 | New Mexico |
Profile Details
| NPI number | 1285770099 |
|---|---|
| LBN Legal business name | Brodsky, Paul |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| 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 | 1285770099 | NPPES |
| New Mexico | MEDICAID | H 6599 |
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