Provider Demographics
NPI:1578621983
Name:PFEIFFER, BRENDA KAY (DC)
Entity Type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:KAY
Last Name:PFEIFFER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26357 FOREST BLVD STE 8
Mailing Address - Street 2:PO BOX 609
Mailing Address - City:WYOMING
Mailing Address - State:MN
Mailing Address - Zip Code:55092-8353
Mailing Address - Country:US
Mailing Address - Phone:651-462-7800
Mailing Address - Fax:651-462-9352
Practice Address - Street 1:26357 FOREST BLVD STE 8
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MN
Practice Address - Zip Code:55092-8353
Practice Address - Country:US
Practice Address - Phone:651-462-7800
Practice Address - Fax:651-462-9352
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3302111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor