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NPI Code Detail

MEDICARE: BRENDYN AARON ALLISON

MEDICARE: BRENDYN AARON ALLISON
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1598603789
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDYN AARON ALLISON
Provider Business Mailing Address
First Line : 25309 MARY ST
Second Line :
City : CHESTERFIELD
State : MI
Zip : 48051-2814
Country : US
Telephone Number : 586-569-9295
Fax Number :
Provider Business Practice Location Address
First Line : 400 LEE ST N
Second Line :
City : LEWISBURG
State : WV
Zip : 24901-1274
Country : US
Telephone Number : 800-356-7836
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/24/2026

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Directions to “ BRENDYN AARON ALLISON ” Practice Location

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