Eric Timothy Brandt, D.C.
Individual provider Active NPI Chiropractor · Princeton, MN
NPI 1174574602 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1174574602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4816 (MN)
- Practice address
- 114 N Rum River Dr Ste a
Princeton, MN 55371-1762 - Phone
- (763) 389-9242
- Fax
- (763) 631-0460
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4816 | MN | Yes |
Addresses
Primary practice location
114 N Rum River Dr Ste a
Princeton, MN 55371-1762
Mailing address
114 N Rum River Dr Ste a
Princeton, MN 55371-1762
Phone (763) 389-9242
Other providers in Princeton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.