Smith, Brian J

Smith, Brian J is an individual health care provider with primary practice located at 49560 Gratiot Ave , Chesterfield MI 48051-2524. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Smith, Brian J can be contacted via phone (586) 949-3788.

Contact Information

Primary practice address
49560 Gratiot Ave Chesterfield MI 48051-2524
Phone: (586) 949-3788
Fax: (586) 949-4319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301006111 Michigan

Profile Details

NPI number 1902869241
LBN Legal business name Smith, Brian J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Dec 14th, 2012 - about 13 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 1902869241 NPPES
Michigan Other 950E052230 BCBSM
Michigan Other 2301006111 BCBSM
Michigan MEDICAID 4322559 BCBSM

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