Brodoski, Michael N

Brodoski, Michael N is an sole proprietor health care provider with primary practice located at 37650 Professional Ctr Dr Ste 125 A , Livonia MI 48154. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Brodoski, Michael N can be contacted via phone (734) 953-0233.

Contact Information

Primary practice address
37650 Professional Ctr Dr Ste 125 A Livonia MI 48154
Fax: (734) 462-1496
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X Michigan

Profile Details

NPI number 1194866004
LBN Legal business name Brodoski, Michael N
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2007
Last updated Dec 1st, 2009 - about 15 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 1194866004 NPPES
Michigan Other 540220276 BCBS

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