Broadus, Angelique

Broadus, Angelique is an individual health care provider with primary practice located at 32100 Telegraph Rd Suite 205 , Bingham Farms MI 48025. She recently has only one registered license in Eye and Vision Services Providers / Technician/Technologist, which is considered as her primary health care specialty. Broadus, Angelique can be contacted via phone (248) 712-4266.

Contact Information

Primary practice address
32100 Telegraph Rd Suite 205 Bingham Farms MI 48025
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Technician/Technologist 156F00000X

Profile Details

NPI number 1275055840
LBN Legal business name Broadus, Angelique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2017
Last updated Jul 21st, 2022 - about 2 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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