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Contact Information

BRODERICK E CLEMMONS
520 N MAPLE ST
MONTICELLO, IA52310-1227
 Phone: 319-975-0285
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for BRODERICK E CLEMMONS · (Male)

NPI # 1023810041
Status Active
Credentials
Entity Individual
Enumeration date 03/27/2025
Last updated 03/27/2025 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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