Brandreth, David Leonard
Brandreth, David Leonard is an sole proprietor health care provider with primary practice located at 6199 Miller Rd Suite B, Swartz Creek MI 48473-1585. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Brandreth, David Leonard can be contacted via phone (810) 635-0554.Contact Information
Primary practice address
6199 Miller Rd Suite B
Swartz Creek MI 48473-1585
Phone: (810) 635-0554
Fax: (810) 635-0558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 5901001472 | Michigan |
Profile Details
| NPI number | 1255431946 |
|---|---|
| LBN Legal business name | Brandreth, David Leonard |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2006 |
| Last updated | Jul 14th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255431946 | NPPES |
| Michigan | MEDICAID | 1983802 | |
| Michigan | Other | 5251018 |
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