Provider Demographics
NPI:1497988455
Name:ALLEN, BRETT THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:THOMAS
Last Name:ALLEN
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 1:3303 W SAGINAW ST
Mailing Address - Street 2:SUITE A-4
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-2303
Mailing Address - Country:US
Mailing Address - Phone:561-346-0626
Mailing Address - Fax:
Practice Address - Street 1:3303 W SAGINAW ST
Practice Address - Street 2:SUITE A-4
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-2303
Practice Address - Country:US
Practice Address - Phone:561-346-0626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-25
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009983111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor