Kreisman, Brian Matthew

Kreisman, Brian Matthew is an individual health care provider with primary practice located at 2907 Breton Rd Se , Grand Rapids MI 49512-1745. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Kreisman, Brian Matthew can be contacted via phone (616) 914-2020.

Contact Information

Primary practice address
2907 Breton Rd Se Grand Rapids MI 49512-1745
Phone: (616) 914-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1601000622 Michigan

Profile Details

NPI number 1780321679
LBN Legal business name Kreisman, Brian Matthew
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2022
Last updated Jul 30th, 2023 - about 2 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 1780321679 NPPES
Michigan Other 1601000622 STATE OF MICHIGAN AUDIOLOGY LICENSE

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