Harper, Broderick
Harper, Broderick is an sole proprietor health care provider with primary practice located at 313 E Jimmie Leeds Rd , Galloway NJ 08205-4119. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Harper, Broderick can be contacted via phone (609) 498-6009.Contact Information
Primary practice address
313 E Jimmie Leeds Rd
Galloway NJ 08205-4119
Phone: (609) 498-6009
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 37LC00243700 | New Jersey |
Profile Details
| NPI number | 1750899795 |
|---|---|
| LBN Legal business name | Harper, Broderick |
| Credentials | LCADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2018 |
| Last updated | Jan 11th, 2018 - about 8 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 | 1750899795 | NPPES |
| New Jersey | Other | 37LC00243700 | SUBSTANCE ABUSE |
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