Bravo, Guadalupe

Bravo, Guadalupe is an individual health care provider with primary practice located at 4646 John R St , Detroit MI 48201-1916. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Bravo, Guadalupe can be contacted via phone (313) 576-1000.

Contact Information

Primary practice address
4646 John R St Detroit MI 48201-1916
Fax: (313) 576-1865
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X

Profile Details

NPI number 1619128030
LBN Legal business name Bravo, Guadalupe
Credentials Certified Psychologist (CP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2008
Last updated May 1st, 2013 - about 11 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.

Request for update

Popular Providers