Provider Demographics
NPI:1720420326
Name:BRZEZINSKI CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:BRZEZINSKI CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:BRZEZINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:517-938-8358
Mailing Address - Street 1:332 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:MI
Mailing Address - Zip Code:49230-8609
Mailing Address - Country:US
Mailing Address - Phone:517-938-8358
Mailing Address - Fax:517-938-8589
Practice Address - Street 1:332 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:MI
Practice Address - Zip Code:49230-8609
Practice Address - Country:US
Practice Address - Phone:517-938-8358
Practice Address - Fax:517-938-8589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009534111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty