Vanderbroek, Marcia Lynne

Vanderbroek, Marcia Lynne is an sole proprietor health care provider with primary practice located at 3272 West Rd , Trenton MI 48183-2322. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vanderbroek, Marcia Lynne can be contacted via phone (734) 676-7900.

Contact Information

Primary practice address
3272 West Rd Trenton MI 48183-2322
Phone: (734) 676-7900
Fax: (734) 676-0335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101009578 Michigan

Profile Details

NPI number 1144229535
LBN Legal business name Vanderbroek, Marcia Lynne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2005
Last updated Dec 10th, 2012 - about 12 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 1144229535 NPPES
Michigan Other 5820325 BLUE CROSS/BLUE SHIELD
Michigan Other 3927 BLUE CROSS/BLUE SHIELD
Michigan MEDICAID 4321696 BLUE CROSS/BLUE SHIELD
Michigan Other 383607563 BLUE CROSS/BLUE SHIELD

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