Brittney Thomas

Individual provider Active NPI Other Technician · Ypsilant, MI

NPI 1477009173 · NPPES record last updated Sep 1, 2016

Key facts

NPI
1477009173
Entity type
Individual (NPI type 1)
Primary specialty
Other Technician 247200000X
Practice address
1431 Leforge Rd Apt 301
Ypsilant, MI 48198
Phone
(734) 686-2077
NPI assigned
Sep 1, 2016
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Yes

Addresses

Primary practice location

1431 Leforge Rd Apt 301
Ypsilant, MI 48198

Mailing address

1431 Leforge Rd Apt 301
Ypsilanti, MI 48198-3514
Phone (734) 686-2077

Sources for this page

Verify at the official NPI Registry.