1306185400 NPI number — WHITNEY JOHNSON BROADWELL R.N.

Table of content: DR. KARLA LISSETH MALTEZ SALVADOR MD (NPI 1215564133)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306185400 NPI number — WHITNEY JOHNSON BROADWELL R.N.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROADWELL
Provider First Name:
WHITNEY
Provider Middle Name:
JOHNSON
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
R.N.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306185400
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/08/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15269 INDIAN MOUND RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WARE SHOALS
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29692-3547
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
864-456-7496
Provider Business Mailing Address Fax Number:
864-861-4338

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15269 INDIAN MOUND RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WARE SHOALS
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29692-3547
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-456-7496
Provider Business Practice Location Address Fax Number:
864-861-4338
Provider Enumeration Date:
02/08/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WS0200X , with the licence number:  203589 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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