Provider Demographics
NPI:1598842775
Name:MCFARLANE, BRANDT JEFFERY (DC)
Entity Type:Individual
Prefix:DR
First Name:BRANDT
Middle Name:JEFFERY
Last Name:MCFARLANE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2150 HOLLOW BROOK DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-8413
Mailing Address - Country:US
Mailing Address - Phone:719-380-8988
Mailing Address - Fax:719-434-5236
Practice Address - Street 1:2150 HOLLOW BROOK DR
Practice Address - Street 2:SUITE 210
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-8413
Practice Address - Country:US
Practice Address - Phone:719-380-8988
Practice Address - Fax:719-434-5236
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5322111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COU95264Medicare UPIN