Provider Demographics
NPI:1114518982
Name:BRUMFIELD CHIROPRACTIC INC
Entity Type:Organization
Organization Name:BRUMFIELD CHIROPRACTIC INC
Other - Org Name:BRUMFIELD CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-295-7442
Mailing Address - Street 1:1080 RIVER OAKS DR STE B103
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-7602
Mailing Address - Country:US
Mailing Address - Phone:601-291-8362
Mailing Address - Fax:601-586-8400
Practice Address - Street 1:1080 RIVER OAKS DR STE B103
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-7602
Practice Address - Country:US
Practice Address - Phone:601-291-8362
Practice Address - Fax:601-586-8400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-03
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty