Ryan Michael Broughton, LLMSW

Social Worker · Jackson, MI

Individual Active NPI

NPI number 1053952903

Practice location

1200 N West Ave
Jackson, MI 49202-2179
Phone
(517) 789-1200

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NPI record

NPI
1053952903
Entity type
Individual (Type 1)
Enumeration date
October 2, 2019
Last updated
October 2, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X 6801101747 MI

Mailing address

540 N Pleasant St
Jackson, MI 49202-3624

About Ryan Broughton

Ryan Michael Broughton, LLMSW is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 1200 N West Ave, Jackson, MI 49202-2179. The NPI number 1053952903 was assigned on October 2, 2019 and the record was last updated on October 2, 2019.

Ryan Broughton lists a license in the registry: #6801101747 (MI) for Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ryan Michael Broughton, LLMSW?

The NPI number is 1053952903.

What is the phone number of Ryan Broughton?

The phone number listed for the practice location is (517) 789-1200.

Where is Ryan Broughton located?

1200 N West Ave, Jackson, MI 49202-2179.

What is the taxonomy code for Ryan Broughton?

The primary taxonomy code is 104100000X – Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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