1689891970 NPI number — ASSOCIATES IN WOMENS HEALTH

Table of content: DR. DANIEL JOHN BROZA O.D. (NPI 1821145475)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689891970 NPI number — ASSOCIATES IN WOMENS HEALTH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASSOCIATES IN WOMENS HEALTH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689891970
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/12/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1046 N MONROE STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONROE
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48162
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
734-457-9034
Provider Business Mailing Address Fax Number:
734-457-4030

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1046 N MONROE STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONROE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48162
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-457-9034
Provider Business Practice Location Address Fax Number:
734-457-4030
Provider Enumeration Date:
04/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
REAUME
Authorized Official First Name:
MARIANN
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
734-457-5983

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4583009 10 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4587830 10 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 160E810610 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: DD1368 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 4734032 11 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 160E810610 . This is a "BLUE CARE NETWORK" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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