Provider Demographics
NPI:1851323166
Name:HOLLENBERG, BRANDON S (DC)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:S
Last Name:HOLLENBERG
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 1:7704 QUARTERFIELD RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-4412
Mailing Address - Country:US
Mailing Address - Phone:410-760-4141
Mailing Address - Fax:410-863-0095
Practice Address - Street 1:7704 QUARTERFIELD RD
Practice Address - Street 2:SUITE H
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-4412
Practice Address - Country:US
Practice Address - Phone:410-760-4141
Practice Address - Fax:410-863-0095
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01911111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor