Marieille Jaquette Broadnax in Detroit - Professional
Marieille Jaquette Broadnax - NPI 1780795104
Marieille Jaquette Broadnax is a Professional in Detroit, Michigan. Marieille Jaquette Broadnax practices all healthcare services and medical treatments related to Professional. The NPI Number for Marieille Jaquette Broadnax is 1780795104. The last update date is 2007-07-08.
Marieille Jaquette Broadnax's current location address is 2051 W Grand Blvd, Detroit, Michigan. You can contact this provider via phone number 3139613700 and fax number 3139613769. The mailing address for Marieille Jaquette Broadnax is 2051 W Grand Blvd, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marieille Jaquette Broadnax |
|---|---|
| Address | 2051 W Grand Blvd, Detroit, Michigan |
| Phone Number | 3139613700 |
| Fax Number | 3139613769 |
| Sole Proprietor | Y |
| Credentials | L.P.C. |
NPI Number Detail
| NPI Number | 1780795104 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2051 W Grand Blvd |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482081105 |
| Phone Number | 3139613700 |
| Fax Number | 3139613769 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 6401008550 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6401008550 | MI | STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Marieille Jaquette Broadnax by the Centers for Medicare & Medicaid Services?
The Marieille Jaquette Broadnax has been issued the NPI (National Provider Identifier) 1780795104 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Marieille Jaquette Broadnax's facilities are geographically located?
The facilities of Marieille Jaquette Broadnax are physically situated at the following location: 2051 W Grand Blvd, Detroit, MI, 482081105.
What is Marieille Jaquette Broadnax's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Marieille Jaquette Broadnax is Professional, and the corresponding taxonomy classification code for this specialized field is 101Yp2500X.
When did Marieille Jaquette Broadnax receive its 1780795104 assignment?
The Marieille Jaquette Broadnax was assigned its 1780795104 on 2006-08-31, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Marieille Jaquette Broadnax, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Marieille Jaquette Broadnax, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.