MEDICARE: BREWSMITH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1275910630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREWSMITH LLC

Provider Business Mailing Address
First Line	:	8010 S COUNTY ROAD 5 UNIT 204
Second Line	:
City	:	WINDSOR
State	:	CO
Zip	:	80528-9004
Country	:	US
Telephone Number	:	970-663-1617
Fax Number	:	970-663-0060

Provider Business Practice Location Address
First Line	:	8010 S COUNTY ROAD 5 UNIT 204
Second Line	:
City	:	WINDSOR
State	:	CO
Zip	:	80528-9004
Country	:	US
Telephone Number	:	970-663-1617
Fax Number	:	970-663-0060

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JANE BREWER
Credential	:	DC, DCCJP
Telephone Number	:	970-596-4920

Provider Enumeration Date	:	05/05/2015
Last Update Date	:	05/02/2025

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