Brockington, Racquel
Brockington, Racquel is an individual health care provider with primary practice located at 2151 E Jefferson Ave , Detroit MI 48207-4161. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Brockington, Racquel can be contacted via phone (313) 259-7990.Contact Information
Primary practice address
2151 E Jefferson Ave
Detroit MI 48207-4161
Phone: (313) 259-7990
Fax: (313) 259-7294
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101013595 | Michigan |
Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 5101013595 | Michigan |
Profile Details
NPI number | 1205955929 |
---|---|
LBN Legal business name | Brockington, Racquel |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 28th, 2007 |
Last updated | Jul 28th, 2016 - about 8 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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