Marlin R Braun, DC
Individual provider Active NPI Chiropractor · Yankton, SD
NPI 1427148451 · NPPES record last updated Feb 6, 2009
Key facts
- NPI
- 1427148451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 589 (SD)
- Practice address
- 417 Walnut St
Yankton, SD 57078-4312 - Phone
- (605) 664-2700
- Fax
- (605) 260-8819
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 589 | SD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebel Chiropractic LTD. | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 589 | SD | Yes |
Addresses
Primary practice location
417 Walnut St
Yankton, SD 57078-4312
Mailing address
417 Walnut St
Yankton, SD 57078-4312
Phone (605) 664-2700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7600792 | Medicaid | SD |
Other providers in Yankton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2009. 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.