Leverenz, Brandi
Leverenz, Brandi is an individual health care provider with primary practice located at 2915 Lapeer Rd , Port Huron MI 48060-2558. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Leverenz, Brandi can be contacted via phone (810) 985-0084.Contact Information
Primary practice address
2915 Lapeer Rd
Port Huron MI 48060-2558
Phone: (810) 985-0084
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2301008500 | Michigan |
Profile Details
| NPI number | 1194732784 |
|---|---|
| LBN Legal business name | Leverenz, Brandi |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1194732784 | NPPES |
| Michigan | Other | 383694572 | TAX ID |
| Michigan | MEDICAID | 4410052 | TAX ID |
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