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Contact Information

LORI K BRICKNER, PA-C
205 N. EAST AVE.
JACKSON, MI49201
 Phone: 517-788-4800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LORI K BRICKNER · (Female)

NPI # 1356591382
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/26/2008
Last updated 02/11/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601005355
  • MI Other 5601005355 MI STATE MEDICAL LICENSE (TEMP)
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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