Healthcare Provider Details

I. General information

NPI: 1528905692
Provider Name (Legal Business Name): BRENDEN W CANDELLA DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 BOARDMAN CANFIELD RD. BLDG. P, UNIT 1
BOARDMAN OH
44512-7325
US

IV. Provider business mailing address

PO BOX 3351
BOARDMAN OH
44513-3351
US

V. Phone/Fax

Practice location:
  • Phone: 330-726-7404
  • Fax: 330-729-9166
Mailing address:
  • Phone: 330-726-7404
  • Fax: 330-729-9166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-05537
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: