Provider Demographics
NPI:1467735613
Name:SRAMEK BRAASCH, CHANTEL A (DC,, BS)
Entity Type:Individual
Prefix:DR
First Name:CHANTEL
Middle Name:A
Last Name:SRAMEK BRAASCH
Suffix:
Gender:F
Credentials:DC,, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9076 PARKHILL ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-3536
Mailing Address - Country:US
Mailing Address - Phone:913-901-7787
Mailing Address - Fax:
Practice Address - Street 1:9076 PARKHILL ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-3536
Practice Address - Country:US
Practice Address - Phone:913-901-7787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05093111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor