John Joseph Broderick-Cantw in Fairhope - Psychiatry
John Joseph Broderick-Cantw - NPI 1760493365
John Joseph Broderick-Cantw is a Psychiatry in Fairhope, Alabama. John Joseph Broderick-Cantw practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for John Joseph Broderick-Cantw is 1760493365. The last update date is 2023-03-07.
John Joseph Broderick-Cantw's current location address is Po Box 392, Fairhope, Alabama. You can contact this provider via phone number 2515175800 and fax number 2515175801. The mailing address for John Joseph Broderick-Cantw is Po Box 392, Fairhope, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Joseph Broderick-Cantw |
|---|---|
| Address | Po Box 392, Fairhope, Alabama |
| Phone Number | 2515175800 |
| Fax Number | 2515175801 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760493365 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | Po Box 392 |
|---|---|
| City | Fairhope |
| State | Alabama (AL) |
| Post Code | 365330392 |
| Phone Number | 2515175800 |
| Fax Number | 2515175801 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 28950 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1353044 | CO | -- | |
| Q48343 | SC | -- | |
| 28903 | SC | MEDICAL LICENSE | |
| DR-35304 | CO | MEDICAL LICENSE | |
| 28950 | AL | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John Joseph Broderick-Cantw by the Centers for Medicare & Medicaid Services?
The John Joseph Broderick-Cantw has been issued the NPI (National Provider Identifier) 1760493365 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where John Joseph Broderick-Cantw is located?
The John Joseph Broderick-Cantw is situated at the following address: Po Box 392, Fairhope, AL, 365330392.
What is John Joseph Broderick-Cantw's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Joseph Broderick-Cantw's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
What is John Joseph Broderick-Cantw's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Joseph Broderick-Cantw is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.
On what date did John Joseph Broderick-Cantw receive its 1760493365 assignment from the Centers for Medicare & Medicaid Services?
The John Joseph Broderick-Cantw was assigned its 1760493365 on 2006-08-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY