Niebrugge, Kenn Allan
Niebrugge, Kenn Allan is an individual health care provider with primary practice located at 4170 Town Center Blvd Suite 100, Orlando FL 32837-5873. He recently has only one registered license in Chiropractic Providers / Internist, which is considered as his primary health care specialty. Niebrugge, Kenn Allan can be contacted via phone (407) 857-6166.Contact Information
Primary practice address
4170 Town Center Blvd Suite 100
Orlando FL 32837-5873
Phone: (407) 857-6166
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Internist | 111NI0900X | CH8610 | Florida |
Profile Details
| NPI number | 1831285360 |
|---|---|
| LBN Legal business name | Niebrugge, Kenn Allan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Sep 24th, 2008 - about 16 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 | 1831285360 | NPPES |
| Florida | MEDICAID | 381757100 |
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