Provider Demographics
NPI:1417776998
Name:BREFKA, HALEY MARIE (DC)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:MARIE
Last Name:BREFKA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2375 PHILLIPS RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-2450
Mailing Address - Country:US
Mailing Address - Phone:989-890-8414
Mailing Address - Fax:
Practice Address - Street 1:44170 W 12 MILE RD STE 100
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-2650
Practice Address - Country:US
Practice Address - Phone:248-624-9393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301401572111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor