MEDICARE: BRIAN E. STONE, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2301008575	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1174532378	OTHER	MI	OTHER NPI NUMBER

General Provider Information

NPI Number	:	1316001712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIAN E. STONE, P.C.

Provider Business Mailing Address
First Line	:	12272 N FENTON RD STE 4C
Second Line	:
City	:	FENTON
State	:	MI
Zip	:	48430-9614
Country	:	US
Telephone Number	:	810-629-5777
Fax Number	:

Provider Business Practice Location Address
First Line	:	2545 W SILVER LAKE RD
Second Line	:
City	:	FENTON
State	:	MI
Zip	:	48430-2662
Country	:	US
Telephone Number	:	810-629-5777
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRIAN EDWARD STONE
Credential	:	D.C.
Telephone Number	:	810-629-5777

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	12/12/2022

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