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ENVIVE BRANDON PROF LLC NPI 1023502168


NPI Information

NPI: 1023502168
Provider Name: ENVIVE BRANDON PROF LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
220 E HOLLY BLVD
BRANDON, SD
ZIP 57005
Phone: (605) 582-3944
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ENVIVE BRANDON PROF LLC is a chiropractor in Brandon, SD. 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. ENVIVE BRANDON PROF LLC NPI is 1023502168. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

220 E HOLLY BLVD
BRANDON, SD
ZIP 57005-171
Phone: (605) 582-3944
Fax: (605) 582-3698

The provider's authorized official is Lavonne Mckee .
The authorized official title is Credentialing Specialist and has the following contact phone number (605) 214-1401.

The enumeration date for this NPI number is 6/21/2018 and was last updated on 9/13/2018.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorYes

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: 5/5/2024

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