Provider Demographics
NPI:1518156215
Name:BRAUN, ANGELA KAY DY (DC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:KAY DY
Last Name:BRAUN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:KAY
Other - Last Name:DY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:105 BIERER LN
Mailing Address - Street 2:UPPER LEVEL
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-3117
Mailing Address - Country:US
Mailing Address - Phone:724-439-1088
Mailing Address - Fax:724-439-1113
Practice Address - Street 1:105 BIERER LN
Practice Address - Street 2:UPPER LEVEL
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-3117
Practice Address - Country:US
Practice Address - Phone:724-439-1088
Practice Address - Fax:724-439-1113
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-18
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3900111N00000X
PADC010164111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor