Provider Demographics
NPI:1083656946
Name:DEUTSCH, BRIAN I (DC)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:I
Last Name:DEUTSCH
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 1:16445 COLLINS AVE APT 428
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4562
Mailing Address - Country:US
Mailing Address - Phone:646-623-8339
Mailing Address - Fax:
Practice Address - Street 1:2999 NE 191ST ST STE 345
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3123
Practice Address - Country:US
Practice Address - Phone:646-623-8339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008467-1111N00000X
FLCH10005111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY008467OtherNY STATE LICENSE
CA30633OtherCA STATE LICENSE