Broad, Michael Scott

Broad, Michael Scott is an individual health care provider with primary practice located at 1555 South Blvd E Suite 310, Rochester Hills MI 48307-5605. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Broad, Michael Scott can be contacted via phone (248) 215-8095.

Contact Information

Primary practice address
1555 South Blvd E Suite 310 Rochester Hills MI 48307-5605
Phone: (248) 215-8095
Fax: (248) 289-1086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601003846 Michigan

Profile Details

NPI number 1356380935
LBN Legal business name Broad, Michael Scott
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Nov 6th, 2012 - about 13 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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