MEDICARE: CHRISTINA M BROOMFIELD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1386404119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA M BROOMFIELD

Provider Business Mailing Address
First Line	:	306 S OAK ST APT B
Second Line	:
City	:	MT PLEASANT
State	:	MI
Zip	:	48858-2451
Country	:	US
Telephone Number	:	989-621-9731
Fax Number	:

Provider Business Practice Location Address
First Line	:	306 S OAK ST APT B
Second Line	:
City	:	MT PLEASANT
State	:	MI
Zip	:	48858-2451
Country	:	US
Telephone Number	:	989-621-9731
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2024
Last Update Date	:	03/20/2024

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Directions to “ CHRISTINA M BROOMFIELD ” Practice Location

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