Provider Demographics
NPI:1417105073
Name:BERNATH, LEVI C (DC)
Entity Type:Individual
Prefix:DR
First Name:LEVI
Middle Name:C
Last Name:BERNATH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6227 HALF MILE RD
Mailing Address - Street 2:
Mailing Address - City:EAST LEROY
Mailing Address - State:MI
Mailing Address - Zip Code:49051
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:713 CAPITAL AVE SW
Practice Address - Street 2:SUITE 2
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-5015
Practice Address - Country:US
Practice Address - Phone:269-965-8930
Practice Address - Fax:269-965-8971
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009432111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor