ANGELIQUE BROADUS – NPI #1275055840
Technician/Technologist

A broad category grouping different kinds of technologists and technicians. See individual definitions.

ANGELIQUE BROADUS is a technician located in BINGHAM FARMS, MI. NPPES has assigned the NPI number 1275055840 to ANGELIQUE BROADUS on July 14, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 156F00000X from the Health Care Provider Taxonomy code set, which is classified as Technician/Technologist.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANGELIQUE BROADUS below.

NPI Profile for
ANGELIQUE BROADUS

NPI Number
1275055840
Enumeration Date

(about 9 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ANGELIQUE BROADUS
Primary location
32100 TELEGRAPH RD SUITE 205
BINGHAM FARMS, MI 48025
Phone: (248) 712-4266 Fax:
Mailing address
32100 TELEGRAPH RD STE 205
BINGHAM FARMS, MI 48025-2454
Phone: (248) 712-4266 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
156F00000X
- Technician/Technologist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.