Provider Demographics
NPI:1538304654
Name:BRANDI WHITAKER, D.C., LLC
Entity Type:Organization
Organization Name:BRANDI WHITAKER, D.C., LLC
Other - Org Name:BRANDI WHITAKER, D.C., LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:J
Authorized Official - Last Name:WHITAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-268-1000
Mailing Address - Street 1:2627 BURLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3012
Mailing Address - Country:US
Mailing Address - Phone:816-268-1000
Mailing Address - Fax:816-268-1001
Practice Address - Street 1:2627 BURLINGTON ST
Practice Address - Street 2:
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3012
Practice Address - Country:US
Practice Address - Phone:816-268-1000
Practice Address - Fax:816-268-1001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
000E513Medicare UPIN