Provider Demographics
NPI:1902021348
Name:RONALD M BRAUN DC,PC
Entity Type:Organization
Organization Name:RONALD M BRAUN DC,PC
Other - Org Name:BRAUN CHIROPRACTIC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:BRAUN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:716-706-0600
Mailing Address - Street 1:50 SAINT MARYS ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-2014
Mailing Address - Country:US
Mailing Address - Phone:716-706-0600
Mailing Address - Fax:716-685-5585
Practice Address - Street 1:50 SAINT MARYS ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NY
Practice Address - Zip Code:14086-2014
Practice Address - Country:US
Practice Address - Phone:716-706-0600
Practice Address - Fax:716-685-5585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008480-X111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty