Martin D Brantner in Rockford - Chiropractor

Martin D Brantner - NPI 1124049887

Martin D Brantner is a Chiropractor in Rockford, Illinois. Martin D Brantner practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Martin D Brantner is 1124049887. The last update date is 2007-07-08.

Martin D Brantner's current location address is 1877 Daimler Rd, Rockford, Illinois. You can contact this provider via phone number 8153983434 and fax number 8153983548. The mailing address for Martin D Brantner is 1877 Daimler Rd, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Martin D Brantner
Address 1877 Daimler Rd, Rockford, Illinois
Phone Number 8153983434
Fax Number 8153983548
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1124049887
Provider Enumeration Date 2006-07-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1877 Daimler Rd
City Rockford
State Illinois (IL)
Post Code 611121005
Phone Number 8153983434
Fax Number 8153983548

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 038-4599
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
38-4599 IL --

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FAQs about Martin D Brantner

What is the Martin D Brantner's unique identification number?

The Martin D Brantner has been assigned the NPI (National Provider Identifier) Number 1124049887 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Martin D Brantner is geographically located?

The Martin D Brantner is physically situated at the following location: 1877 Daimler Rd, Rockford, IL, 611121005.

What is Martin D Brantner's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Martin D Brantner is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1124049887 to Martin D Brantner?

The Martin D Brantner received its 1124049887 assignment from the Centers for Medicare & Medicaid Services on 2006-07-21.

When was the information pertaining to Martin D Brantner most recently updated or revised?

The details related to Martin D Brantner, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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