Provider Demographics
NPI:1457711947
Name:BRAIN CONNCTIONS CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:BRAIN CONNCTIONS CHIROPRACTIC, LLC
Other - Org Name:MPOWER CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN-FRANCOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBUC
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-401-4566
Mailing Address - Street 1:5150 STILESBORO RD NW
Mailing Address - Street 2:SUITE 515
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-7744
Mailing Address - Country:US
Mailing Address - Phone:678-401-4566
Mailing Address - Fax:404-910-5289
Practice Address - Street 1:5150 STILESBORO RD NW
Practice Address - Street 2:SUITE 515
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30152-7744
Practice Address - Country:US
Practice Address - Phone:678-401-4566
Practice Address - Fax:404-910-5289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-26
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009220111N00000X
GACHIR008300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty