Provider Demographics
NPI:1669906871
Name:DELHUNTY, BRANDON MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:MICHAEL
Last Name:DELHUNTY
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 1:801 S MICHAEL ST
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:PA
Mailing Address - Zip Code:15857-2131
Mailing Address - Country:US
Mailing Address - Phone:814-771-0381
Mailing Address - Fax:
Practice Address - Street 1:801 S MICHAEL ST
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:PA
Practice Address - Zip Code:15857-2131
Practice Address - Country:US
Practice Address - Phone:814-781-1113
Practice Address - Fax:814-781-1142
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-13
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011248111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1034001610001Medicaid