MEDICARE: DR. BROOKE SVENSON RAMIREZ DC

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	5798	NC

General Provider Information

NPI Number	:	1710332705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BROOKE SVENSON RAMIREZ DC

Provider Business Mailing Address
First Line	:	2100 W ARLINGTON BLVD
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-6487
Country	:	US
Telephone Number	:	252-999-9371
Fax Number	:	252-999-9372

Provider Business Practice Location Address
First Line	:	2100 W ARLINGTON BLVD
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-6487
Country	:	US
Telephone Number	:	252-999-9371
Fax Number	:	252-999-9372

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2016
Last Update Date	:	07/16/2024

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