Individual
DR. BRETT ANDREW MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1125 E MILHAM AVE, SUITE B, PORTAGE, MI 49002-3096
(269) 381-2200
(269) 381-4233
Mailing address
1125 E MILHAM AVE, SUITE B, PORTAGE, MI 49002-3096
(269) 381-2200
(269) 381-4233
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008592
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144724125
—
MI
01
—
230002000
US DEPT OF LABOR
MI
01
—
4430218
IBA/PHP
MI
01
—
950A310950
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/19/2005
Last updated
12/03/2014
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