Provider / Organization | NPI | Date Certified |
---|---|---|
ALLIE JADE BRODSKY | 1790417103 | 2022-06-26 |
Allie Jade Brodsky is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1790417103. Registration indicates Allie Jade Brodsky is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Allie Jade Brodsky |
Practice Office Address | 900 COOPER AVE SAGINAW, MI US |
Practice Office Telephone | 9895830000 |
Mailing Address | 1632 STONE ST SAGINAW, MI 48602 US |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |