Brannick, Blake

Brannick, Blake is an sole proprietor health care provider with primary practice located at 3333 Spring Arbor Rd Ste 200 , Jackson MI 49203-8622. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Brannick, Blake can be contacted via phone (517) 205-2143.

Contact Information

Primary practice address
3333 Spring Arbor Rd Ste 200 Jackson MI 49203-8622
Fax: (517) 205-0143
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901002806 Michigan

Profile Details

NPI number 1164873527
LBN Legal business name Brannick, Blake
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2016
Last updated Aug 20th, 2019 - about 5 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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