Blickenstaff, Brett W.

Blickenstaff, Brett W. is an individual health care provider with primary practice located at 44201 Dequindre Rd , Troy MI 48085-1117. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Blickenstaff, Brett W. can be contacted via phone (248) 964-8912.

Contact Information

Primary practice address
44201 Dequindre Rd Troy MI 48085-1117
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601007095 Michigan

Profile Details

NPI number 1629479035
LBN Legal business name Blickenstaff, Brett W.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2014
Last updated Jul 22nd, 2022 - about 3 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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