Provider Demographics
NPI:1093011629
Name:BRINKLEY, ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:
Last Name:BRINKLEY
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 1:1317 18TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-2822
Mailing Address - Country:US
Mailing Address - Phone:415-282-2574
Mailing Address - Fax:415-401-6220
Practice Address - Street 1:1317 18TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-2822
Practice Address - Country:US
Practice Address - Phone:415-282-2574
Practice Address - Fax:415-401-6220
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-29
Last Update Date:2011-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18342111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor