Provider Demographics
NPI:1427297076
Name:EP BRIEDEN
Entity type:Organization
Organization Name:EP BRIEDEN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:BRIEDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:586-286-2960
Mailing Address - Street 1:16782 21 MILE RD
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-2600
Mailing Address - Country:US
Mailing Address - Phone:586-286-2960
Mailing Address - Fax:586-286-8760
Practice Address - Street 1:16782 21 MILE RD
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-2600
Practice Address - Country:US
Practice Address - Phone:586-286-2960
Practice Address - Fax:586-286-8760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-05
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJB009218111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty