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Contact Information

SCOTT BROADNAX
8063 MADISON AVE # 246
INDIANAPOLIS, IN46227-6001
 Phone: 317-750-0435
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for SCOTT BROADNAX · (Male)

NPI # 1053715284
Status Active
Credentials
Entity Individual
Enumeration date 10/17/2014
Last updated 10/17/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • IN Medicaid 201132640 A
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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