MEDICARE: DR. ELIZABETH PATRICIA BRIEDEN D.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	2301006923	MI

General Provider Information

NPI Number	:	1649451998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH PATRICIA BRIEDEN D.C.

Provider Business Mailing Address
First Line	:	1820 SINCLAIR ST
Second Line	:	SUITE A
City	:	SAINT CLAIR
State	:	MI
Zip	:	48079-5905
Country	:	US
Telephone Number	:	810-329-9900
Fax Number	:	810-329-0900

Provider Business Practice Location Address
First Line	:	1820 SINCLAIR ST
Second Line	:	SUITE A
City	:	SAINT CLAIR
State	:	MI
Zip	:	48079-5905
Country	:	US
Telephone Number	:	810-329-9900
Fax Number	:	810-329-0900

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2007
Last Update Date	:	01/05/2010

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