Broda, Michael Mark

Broda, Michael Mark is an individual health care provider with primary practice located at 9605 Caldwell Commons Cir Suite C, Cornelius NC 28031-8138. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Broda, Michael Mark can be contacted via phone (704) 987-9818.

Contact Information

Primary practice address
9605 Caldwell Commons Cir Suite C Cornelius NC 28031-8138
Phone: (704) 987-9818
Fax: (704) 987-9718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3157 North Carolina

Profile Details

NPI number 1750451712
LBN Legal business name Broda, Michael Mark
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750451712 NPPES
North Carolina Other 085MJ BCBS NUMBER

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