Provider Demographics
NPI:1023160744
Name:D'BRANT, JEANNE EDITH (DC, DACBN)
Entity type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:EDITH
Last Name:D'BRANT
Suffix:
Gender:F
Credentials:DC, DACBN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 TIMBERPOINT DR.
Mailing Address - Street 2:
Mailing Address - City:FORT SALONGA
Mailing Address - State:NY
Mailing Address - Zip Code:11768-2224
Mailing Address - Country:US
Mailing Address - Phone:631-757-1324
Mailing Address - Fax:631-757-1368
Practice Address - Street 1:37 TIMBERPOINT DR.
Practice Address - Street 2:
Practice Address - City:FORT SALONGA
Practice Address - State:NY
Practice Address - Zip Code:11768-2224
Practice Address - Country:US
Practice Address - Phone:631-757-1324
Practice Address - Fax:631-757-1368
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX004913-1111NN1001X
NY003765-1133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111NN1001XChiropractic ProvidersChiropractorNutrition
Not Answered133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX27791Medicare ID - Type UnspecifiedNUTRITIONIST
NYX27791Medicare ID - Type UnspecifiedCHIROPRACTOR