Provider Demographics
NPI:1942627336
Name:CRAMER, BRANDON TRAVIS (DC)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:TRAVIS
Last Name:CRAMER
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 1:1123 CENTRAL AVE E
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:IA
Mailing Address - Zip Code:50525-1701
Mailing Address - Country:US
Mailing Address - Phone:515-532-0104
Mailing Address - Fax:
Practice Address - Street 1:1123 CENTRAL AVE E
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:IA
Practice Address - Zip Code:50525-1701
Practice Address - Country:US
Practice Address - Phone:515-532-0104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-24
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA072765111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor