Berlener, Brent Ray

Berlener, Brent Ray is an individual health care provider with primary practice located at 3216 Emerald Ln Suite A, Jefferson City MO 65109-6947. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Berlener, Brent Ray can be contacted via phone (573) 636-6400.

Contact Information

Primary practice address
3216 Emerald Ln Suite A Jefferson City MO 65109-6947
Phone: (573) 636-6400
Fax: (573) 636-6401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2006010204 Missouri

Profile Details

NPI number 1558485375
LBN Legal business name Berlener, Brent Ray
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Aug 6th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558485375 NPPES
Missouri Other 2006010204 MISSOURI LICENSE NO.

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