Provider Demographics
NPI:1770750713
Name:BRONAT CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:BRONAT CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:BRONAT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:202-296-1601
Mailing Address - Street 1:1312 MASSACHUSETTS AVE NW
Mailing Address - Street 2:# 310
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-4165
Mailing Address - Country:US
Mailing Address - Phone:202-296-1601
Mailing Address - Fax:
Practice Address - Street 1:2000 L ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-4907
Practice Address - Country:US
Practice Address - Phone:202-296-1601
Practice Address - Fax:202-296-1633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCCH30017111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty