Provider Demographics
NPI:1396375606
Name:RAMAKKO, BRANDON (DC)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:
Last Name:RAMAKKO
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:CASA DE PARCO APARTMENTS
Mailing Address - Street 2:TOWER ORCHIDEA, FLOOR 16, ROOM 2
Mailing Address - City:TANGERANG
Mailing Address - State:BANTEN
Mailing Address - Zip Code:15345
Mailing Address - Country:ID
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CASA DE PARCO APARTMENTS
Practice Address - Street 2:TOWER ORCHIDEA, FLOOR 16, ROOM 2
Practice Address - City:TANGERANG
Practice Address - State:BANTEN
Practice Address - Zip Code:15345
Practice Address - Country:ID
Practice Address - Phone:971-236-2303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-26
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14337111N00000X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
No111N00000XChiropractic ProvidersChiropractor