Provider Demographics
NPI:1578842399
Name:DR. BRANDON KRAINIK, LLC
Entity Type:Organization
Organization Name:DR. BRANDON KRAINIK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:WILLMONTE
Authorized Official - Last Name:KRAINIK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-878-3664
Mailing Address - Street 1:PO BOX 630411
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80163-0411
Mailing Address - Country:US
Mailing Address - Phone:720-878-3664
Mailing Address - Fax:303-791-8556
Practice Address - Street 1:9579 S UNIVERSITY BLVD UNIT 170
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-8119
Practice Address - Country:US
Practice Address - Phone:720-878-3664
Practice Address - Fax:303-791-8556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6608111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty