Healthcare Provider Details

I. General information

NPI: 1982809182
Provider Name (Legal Business Name): BRIAN SETH DENHOFFER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

769 MANATEE BAY DR
BOYNTON BEACH FL
33435-2821
US

IV. Provider business mailing address

769 MANATEE BAY DR
BOYNTON BEACH FL
33435-2821
US

V. Phone/Fax

Practice location:
  • Phone: 561-351-3829
  • Fax:
Mailing address:
  • Phone: 561-351-3829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH7970
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: