Provider Demographics
NPI:1841346137
Name:BRIERLEY, WILLIAM MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MICHAEL
Last Name:BRIERLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:828 DAVISON RD
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-5228
Mailing Address - Country:US
Mailing Address - Phone:716-438-2988
Mailing Address - Fax:716-433-3163
Practice Address - Street 1:828 DAVISON RD
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-5228
Practice Address - Country:US
Practice Address - Phone:716-438-2988
Practice Address - Fax:716-433-3163
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX07788-5111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11384BOtherPTAN
NYCO7788-5OtherWORKERS COMP NUMBER
NYU53169Medicare UPIN