Provider Demographics
NPI:1245432426
Name:BRASS, HOWARD CRAIG (DC)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:CRAIG
Last Name:BRASS
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 1:10071 NW 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33150-1348
Mailing Address - Country:US
Mailing Address - Phone:305-758-1888
Mailing Address - Fax:305-758-0450
Practice Address - Street 1:10071 NW 7TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150-1348
Practice Address - Country:US
Practice Address - Phone:305-758-1888
Practice Address - Fax:305-758-0450
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH1585111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL89054Medicare ID - Type Unspecified
FLT56072Medicare UPIN