Broaden, Corey

Broaden, Corey is an sole proprietor health care provider with primary practice located at 19796 San Juan Dr , Detroit MI 48221-1704. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Broaden, Corey can be contacted via phone (313) 450-3711.

Contact Information

Primary practice address
19796 San Juan Dr Detroit MI 48221-1704
Phone: (313) 450-3711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1225414584
LBN Legal business name Broaden, Corey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2015
Last updated Aug 9th, 2015 - about 10 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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