Healthcare Provider Details

I. General information

NPI: 1154441764
Provider Name (Legal Business Name): BRAUN CHIROPRACTIC, A PROFESSIONAL LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 04/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26291 MAIN STREET
CONIFER CO
80433
US

IV. Provider business mailing address

PO BOX 1412
CONIFER CO
80433-1412
US

V. Phone/Fax

Practice location:
  • Phone: 303-838-0990
  • Fax: 303-838-6400
Mailing address:
  • Phone: 303-838-0990
  • Fax: 303-838-6400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER J BRAUN
Title or Position: MANAGER
Credential: D.C.
Phone: 303-838-0990