Provider Demographics
NPI:1275910630
Name:BREWSMITH LLC
Entity Type:Organization
Organization Name:BREWSMITH LLC
Other - Org Name:PRECISION CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-596-4920
Mailing Address - Street 1:4880 THOMPSON PKWY
Mailing Address - Street 2:SUITE 120
Mailing Address - City:JOHNSTOWN
Mailing Address - State:CO
Mailing Address - Zip Code:80534-6409
Mailing Address - Country:US
Mailing Address - Phone:970-818-2015
Mailing Address - Fax:
Practice Address - Street 1:4880 THOMPSON PKWY
Practice Address - Street 2:SUITE 120
Practice Address - City:JOHNSTOWN
Practice Address - State:CO
Practice Address - Zip Code:80534-6409
Practice Address - Country:US
Practice Address - Phone:970-818-2015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty