Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWIN CHARLES BROADNAX
Active Sole ProprietorEDWIN CHARLES BROADNAX is a School Social Worker healthcare provider located in RIVERSIDE, California. NPI 1518248640 is currently active in the NPPES registry. Verify at CMS.
School Social Worker · RIVERSIDE, CA
Registration Details
- NPI Number
- 1518248640
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 2, 2011 (14.975697016015 yrs)
- Last Updated
- Sep 2, 2011
- License
-
104100000X (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3801 UNIVERSITY AVENUE, SUITE 400RIVERSIDE, CA, 92501Browse CA providers · Browse ZIP 92501
- Phone
- 9519557108
- Primary Specialty
-
School Social Worker
1041S0200X
Other School Social Worker Providers in RIVERSIDE, CA
| Name | Credential | NPI |
|---|---|---|
| MR. THEODORE R ROBINSON III | — | 1306405949 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.