Brodrick, Mary Kay

Brodrick, Mary Kay is an sole proprietor health care provider with primary practice located at 48190 W 10 Mile Rd , Novi MI 48374-2813. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Brodrick, Mary Kay can be contacted via phone (313) 590-5835.

Contact Information

Primary practice address
48190 W 10 Mile Rd Novi MI 48374-2813
Fax: (708) 910-3138
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 4704238653 Michigan

Profile Details

NPI number 1114691797
LBN Legal business name Brodrick, Mary Kay
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2021
Last updated Aug 5th, 2021 - about 3 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 1114691797 NPPES
Michigan Other 4704238653 NURSING LICENSE

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