Marylynn Broderick Herchline
Adolescent Medicine
9000 North Main Street Suite 332
Dayton
, Ohio 45415-1185
Marylynn Broderick Herchline
Adolescent Medicine
9000 North Main Street Suite 332
Dayton
, Ohio 45415-1185
(937) 832-4817
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Marylynn Broderick Herchline
- 9000 North Main Street Suite 332
- Dayton, OH
- Zip : 45415-1185
- Fax : (937) 832-4817
- Phone : (937) 832-7337
Second Address
- Marylynn Broderick Herchline
- 9000 North Main Street Suite 332
- Dayton, OH
- Zip : 45415-1185
- Fax : (937) 832-4817
- Phone : (937) 832-7337
Reviews
FAQs
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Is Marylynn Broderick Herchline a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 35057027 | OH |
National Provider Identifier
| NPI | 1295811412 |
|---|---|
| Provider Name | Marylynn Broderick Herchline |
| First Address | Dayton, OH 45415-1185 |
| Second Address | Dayton, OH 45415-1185 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000037311 | BLUE CROSS BLUE SHIELD (01) | |
| 0709602 | (05) | OH |
| 0709602 | BUREAU FOR CHILDREN WITH (01) | |
| 1220651 | AETNA (01) | |
| 1220651 | UNITED HEALTHCARE (01) | |
| 311627276032 | CARESOURCE (01) |
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.