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
Phone: (810) 732-2210
Fax: (810) 230-0158
Website:
Health care specialties
| Specialty | Code | License # | 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 15 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 | 1932120169 | NPPES |
| Michigan | MEDICAID | 2590087 |
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