Individual provider · Type 1 NPI

Thaddeus Broderick

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1639561012 Active

Practice location

8102 Englewood Rd
Indianapolis, IN 46240-2749

Call (317) 473-7489 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X76141 (IN)
Student in an Organized Health Care Education/Training Program Primary 390200000X76141 (IN)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other student in an organized health care education/training program providers in Indianapolis

See all in Indianapolis →

About NPI 1639561012

Thaddeus Broderick's National Provider Identifier is 1639561012, issued on Feb 23, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Feb 23, 2015.