Dr. Glen Allan Brasseur
Independent Medical Examiner
1782 Capital Ave Sw
Battle Creek
, Michigan 49015-3972
Dr. Glen Allan Brasseur
Independent Medical Examiner
1782 Capital Ave Sw
Battle Creek
, Michigan 49015-3972
(510) 333-1670
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About
Features
Specialties
- Independent Medical Examiner
Languages spoken
- English
Location
First Address
- Dr. Glen Allan Brasseur
- 1782 Capital Ave Sw
- Battle Creek, MI
- Zip : 49015-3972
- Phone : (510) 333-1670
Second Address
- Dr. Glen Allan Brasseur
- 1782 Capital Ave Sw
- Battle Creek, MI
- Zip : 49015-3972
- Phone : (510) 333-1670
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NI0013X | Independent Medical Examiner | 6196 | TX |
National Provider Identifier
| NPI | 1114511805 |
|---|---|
| Provider Name | Dr. Glen Allan Brasseur |
| First Address | Battle Creek, MI 49015-3972 |
| Second Address | Battle Creek, MI 49015-3972 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/02/2021 |
| Last Update Date | 24/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 6196 | LICENSE NUMBER (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.