Provider Demographics
NPI:1154441764
Name:BRAUN CHIROPRACTIC, A PROFESSIONAL LIMITED LIABILITY COMPANY
Entity Type:Organization
Organization Name:BRAUN CHIROPRACTIC, A PROFESSIONAL LIMITED LIABILITY COMPANY
Other - Org Name:BRAUN CHIROPRACTIC PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRAUN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-838-0990
Mailing Address - Street 1:PO BOX 1412
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-1412
Mailing Address - Country:US
Mailing Address - Phone:303-838-0990
Mailing Address - Fax:303-838-6400
Practice Address - Street 1:26291 MAIN STREET
Practice Address - Street 2:
Practice Address - City:CONIFER
Practice Address - State:CO
Practice Address - Zip Code:80433
Practice Address - Country:US
Practice Address - Phone:303-838-0990
Practice Address - Fax:303-838-6400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty