Dr. Michelle A. Broderick
Optometrist
82 Maine St
Brunswick
, Maine 04011-2015
Dr. Michelle A. Broderick
Optometrist
82 Maine St
Brunswick
, Maine 04011-2015
(207) 729-8955
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Michelle A. Broderick
- 82 Maine St
- Brunswick, ME
- Zip : 04011-2015
- Fax : (207) 729-8955
- Phone : (207) 729-8474
Second Address
- Dr. Michelle A. Broderick
- 82 Maine St
- Brunswick, ME
- Zip : 04011-2015
- Fax : (207) 729-8955
- Phone : (207) 729-8474
Reviews
FAQs
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Is Dr. Michelle A. Broderick a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT767 | ME |
National Provider Identifier
| NPI | 1003814096 |
|---|---|
| Provider Name | Dr. Michelle A. Broderick |
| First Address | Brunswick, ME 04011-2015 |
| Second Address | Brunswick, ME 04011-2015 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U01284 | (02) | ME |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.