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JUSTIN BRANDAU D.C. P.C. NPI 1548451750


NPI Information

NPI: 1548451750
Provider Name: JUSTIN BRANDAU D.C., P.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4500 N 32ND ST
SUITE 102
PHOENIX, AZ
ZIP 85018
Phone: (602) 954-0311
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JUSTIN BRANDAU D.C., P.C. is a chiropractor in Phoenix, AZ. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. JUSTIN BRANDAU D.C., P.C. NPI is 1548451750. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4500 N 32ND ST
SUITE 102
PHOENIX, AZ
ZIP 85018-396
Phone: (602) 954-0311
Fax: (602) 954-0339

The provider's authorized official is Justin Edward Brandau .
The authorized official title is President and has the following contact phone number (602) 954-0311.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 8/5/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor7382ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1160210MEDICAIDARIZONA
206709MEDICARE UPINARIZONA
3105648MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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