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Contact Information

BROADWAY ERGONOMICS, LLC
111 E BROADWAY
SUITE 340
COLUMBIA, MO65203-4208
 Phone: 573-808-2392
 Fax: 888-738-3034
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Ergonomics

2251E1200X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BROADWAY ERGONOMICS, LLC

NPI # 1982959011
LBN Legal business name BROADWAY ERGONOMICS, LLC
Authorized official BRET DERRICK - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2012
Last updated 07/15/2012 - About 14 years ago
Identifiers
MO License # 02148
MO License # 2010028179
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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