Wallis, Brandon K
Wallis, Brandon K is an sole proprietor health care provider with primary practice located at 10985 Middlebelt Rd , Livonia MI 48150-3056. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Wallis, Brandon K can be contacted via phone (734) 427-3550.Contact Information
Primary practice address
10985 Middlebelt Rd
Livonia MI 48150-3056
Phone: (734) 427-3550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2301008685 | Michigan |
Profile Details
| NPI number | 1528112877 |
|---|---|
| LBN Legal business name | Wallis, Brandon K |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1528112877 | NPPES |
| Michigan | Other | 95OH202810 | BLUE CROSS BLUE SHIELD |
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