Braedon, Evan Michael
Braedon, Evan Michael is an sole proprietor health care provider with primary practice located at 3315 E Michigan Ave Ste 4 , Lansing MI 48912-4345. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Braedon, Evan Michael can be contacted via phone (517) 364-8600.Contact Information
Primary practice address
3315 E Michigan Ave Ste 4
Lansing MI 48912-4345
Phone: (517) 364-8600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 5202007978 | Michigan |
Profile Details
| NPI number | 1669936589 |
|---|---|
| LBN Legal business name | Braedon, Evan Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2019 |
| Last updated | Jan 24th, 2019 - about 5 years ago |
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.
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