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Contact Information

JONATHAN BROEK
2920 LAKEVIEW DR
ANN ARBOR, MI48103
 Phone: 616-516-8729
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for JONATHAN BROEK · (Male)

NPI Number 1972037133
Status Active
Credentials
Entity Individual
Enumeration date 04/14/2017
Last updated 04/14/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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