Claybrooks, Roderick

Claybrooks, Roderick is an individual health care provider with primary practice located at 22250 Providence Dr Suite 601, Southfield MI 48075-4825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Claybrooks, Roderick can be contacted via phone (248) 569-7745.

Contact Information

Primary practice address
22250 Providence Dr Suite 601 Southfield MI 48075-4825
Fax: (248) 569-4539
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 4301074231 Michigan

Profile Details

NPI number 1255325684
LBN Legal business name Claybrooks, Roderick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255325684 NPPES
Michigan MEDICAID 4781570
Michigan Other 7542611
Michigan Other 12897
Michigan Other 141817
Michigan Other P00271654
Michigan Other 17348
Michigan Other RC074231
Michigan Other 024520
Michigan Other 59938
Michigan Other 630511
Michigan Other TAX I.D.
Michigan Other 607926000
Michigan Other 150941

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