Brodie, Michael Lee

Brodie, Michael Lee is an sole proprietor health care provider with primary practice located at 1145 Geer Rd , Turlock CA 95380-3381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brodie, Michael Lee can be contacted via phone (209) 656-9517.

Contact Information

Primary practice address
1145 Geer Rd Turlock CA 95380-3381
Fax: (209) 656-9870
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A031978 California

Profile Details

NPI number 1235181736
LBN Legal business name Brodie, Michael Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Jun 20th, 2008 - 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 1235181736 NPPES
California MEDICAID 00A319870

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