Moyer-Brailean, Todd A

Moyer-Brailean, Todd A is an individual health care provider with primary practice located at 4660 S Hagadorn Rd Ste 210 , East Lansing MI 48823-5353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, which is considered as his primary health care specialty. Moyer-Brailean, Todd A can be contacted via phone (517) 355-4205.

Contact Information

Primary practice address
4660 S Hagadorn Rd Ste 210 East Lansing MI 48823-5353
Phone: (517) 355-4205
Fax: (517) 364-8119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 5101009519 Michigan

Profile Details

NPI number 1124095278
LBN Legal business name Moyer-Brailean, Todd A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jun 27th, 2023 - about 2 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 1124095278 NPPES
Michigan Other 0770054 PHP FAMILYCARE PROVIDER#
Michigan Other 5331613 PHP FAMILYCARE PROVIDER#
Michigan Other 160045101 PHP FAMILYCARE PROVIDER#
Michigan Other 0700054 PHP FAMILYCARE PROVIDER#
Michigan Other 1011190 PHP FAMILYCARE PROVIDER#
Michigan MEDICAID 3418824 PHP FAMILYCARE PROVIDER#

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