Brady, Mary Beth
Brady, Mary Beth is an sole proprietor health care provider with primary practice located at 8316 Lake Pine Dr , Commerce Township MI 48382-4529. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Brady, Mary Beth can be contacted via phone (248) 363-5188.Contact Information
Primary practice address
8316 Lake Pine Dr
Commerce Township MI 48382-4529
Phone: (248) 363-5188
Fax: (248) 360-3942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 4301056919 | Michigan |
Profile Details
| NPI number | 1831745256 |
|---|---|
| LBN Legal business name | Brady, Mary Beth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2019 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831745256 | NPPES |
| Michigan | Other | 4301056919 | MEDICAL LICENSE |
| Michigan | Other | 1606355372 | MEDICAL LICENSE |
| Michigan | Other | 4301056919 | MEDICAL LICENSE |
| Michigan | Other | F59302 | MEDICAL LICENSE |
| Michigan | MEDICAID | 2954064 | MEDICAL LICENSE |
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