Provider Demographics
NPI:1477989481
Name:BRIAN R JABLONSKI
Entity Type:Organization
Organization Name:BRIAN R JABLONSKI
Other - Org Name:BRIAN R JABLONSKI INSURANCE FINANCIAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSURANCE AGENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:JABLONSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-798-6229
Mailing Address - Street 1:55 HARROW LN STE 3A
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48638-6076
Mailing Address - Country:US
Mailing Address - Phone:989-790-4016
Mailing Address - Fax:989-790-4016
Practice Address - Street 1:55 HARROW LN STE 3A
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48638-6076
Practice Address - Country:US
Practice Address - Phone:989-790-4016
Practice Address - Fax:989-790-4016
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INSURANCE AGENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI179427251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI179427OtherSTATE OF MICHIGAN