Serven, Bruce Devere

Serven, Bruce Devere is an sole proprietor health care provider with primary practice located at G4010 W Court St , Flint MI 48532-3518. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Sports Physician is his primary health care specialty. Serven, Bruce Devere can be contacted via phone (810) 732-2210.

Contact Information

Primary practice address
G4010 W Court St Flint MI 48532-3518
Fax: (810) 230-0158
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301005078 Michigan
Chiropractic Providers / Chiropractor 111N00000X CE5136 Missouri
Chiropractic Providers / Sports Physician 111NS0005X 2301005078 Michigan
Chiropractic Providers / Sports Physician 111NS0005X CE5136 Missouri

Profile Details

NPI number 1932120169
LBN Legal business name Serven, Bruce Devere
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2006
Last updated Sep 8th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932120169 NPPES
Michigan MEDICAID 2590087

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