Brozovich, Richard W
Brozovich, Richard W is an sole proprietor health care provider with primary practice located at 7127 Perry Lake Rd , Clarkston MI 48346-1655. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brozovich, Richard W can be contacted via phone (248) 625-7769.Contact Information
Primary practice address
7127 Perry Lake Rd
Clarkston MI 48346-1655
Phone: (248) 625-7769
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301000673 | Michigan |
Profile Details
| NPI number | 1336269158 |
|---|---|
| LBN Legal business name | Brozovich, Richard W |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336269158 | NPPES |
| Michigan | Other | OF34639 | BLUE CROSS-BLUE SHIELD ID |
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