Briand, Larry D
Briand, Larry D is an individual health care provider with primary practice located at 2717 18Th St Suite 100, Kenosha WI 53140-4666. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Briand, Larry D can be contacted via phone (262) 551-5650.Contact Information
Primary practice address
2717 18Th St Suite 100
Kenosha WI 53140-4666
Phone: (262) 551-5650
Fax: (866) 245-8064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4072024 | Wisconsin |
Profile Details
| NPI number | 1275573198 |
|---|---|
| LBN Legal business name | Briand, Larry D |
| Credentials | MS, PT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Dec 4th, 2014 - about 12 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 | 1275573198 | NPPES |
| Illinois | Other | 87951 | MEDICARE |
| Illinois | Other | 00186666001 | MEDICARE |
| Illinois | MEDICAID | 40189400 | MEDICARE |
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