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Contact Information

JEANNINE M BRAKE NORDER, OD
123 LANSING STREET
CHARLOTTE, MI48813
 Phone: 517-543-2020
 Fax: 517-543-0311
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JEANNINE M BRAKE NORDER · (Female)

NPI Number 1194754879
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/03/2006
Last updated 06/22/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4901003751
  • Other 410029431 RAILROAD MEDICARE
  • MI Other JB003751 BCBS OF MI
  • MI Other 2200102 PHP OF MID MICHIGAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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