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
Phone: (313) 590-5835
Fax: (708) 910-3138
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114691797 | NPPES |
Michigan | Other | 4704238653 | NURSING LICENSE |
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