Provider Demographics
NPI:1821435231
Name:ZEHR, BRANDON ROSS (DC)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:ROSS
Last Name:ZEHR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6737 LONSDALE RD
Mailing Address - Street 2:
Mailing Address - City:CHITTENANGO
Mailing Address - State:NY
Mailing Address - Zip Code:13037-8747
Mailing Address - Country:US
Mailing Address - Phone:315-687-3154
Mailing Address - Fax:
Practice Address - Street 1:6737 LONSDALE RD
Practice Address - Street 2:
Practice Address - City:CHITTENANGO
Practice Address - State:NY
Practice Address - Zip Code:13037-8747
Practice Address - Country:US
Practice Address - Phone:315-687-3154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-24
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012363-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor