MR. BRANDON RAY CRANDALL (NPI# 1154321727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154321727 |
| Entity Type | Individual |
| Full Name | MR. BRANDON RAY CRANDALL |
| Credential | DC |
| Practice Address |
1831 W Court St Ste 1 Janesville WI 53548-3406 |
| Practice Telephone | 6087547463 |
| Practice Fax Number | 6087541437 |
| Mailing Telephone | 6087547463 |
| Mailing Fax Number | 6087541437 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1348-012 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38829600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| Street Address |
1831 W COURT ST STE 1 |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53548-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366895484 | Feiyan Hagar | Acupuncturist | 1831 W Court St, Janesville, WI 53548-3406 | 2016-07-14 |
| 1376970483 | Caitlin Schmidt | Chiropractor | 1831 W Court St, Janesville, WI 53548 | 2013-10-03 |
| 1104184712 | Jenny Rebecca Mohr Friedel | Massage Therapist | 1831 W Court St, Janesville, WI 53548-3406 | 2012-05-02 |
| 1285890640 | Ryan Thomas Fuelleman | Chiropractor | 1831 W Court St, Janesville, WI 53548-3406 | 2008-08-04 |
| 1205961331 | Park Place Chiropractic, LLC | Chiropractor | 1831 W Court St, Janesville, WI 53548-3406 | 2007-02-22 |
| 1407862329 | Joe L Arreola | Chiropractor | 1831 W Court St, Janesville, WI 53548-3406 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578846010 | Patricia Ann Sheets | Licensed Vocational Nurse | 316 N. Terrace St., Janbesville, WI 53548 | 2011-09-21 |
| 1760658983 | Kristy Kay Prentice Kerl | Dental Hygienist | 121 Jonathon Dr, Janesville, WI 53548 | 2008-05-07 |
| 1316005978 | City of Janesville | Emergency Medical Technician, Paramedic | 18 N Jackson St, Janesville, WI 53548 | 2006-12-05 |
| 1558464115 | Sarah Louise Hessenauer | Social Worker | 17 S. River St, Suite 254, Janesville, WI 53548 | 2006-09-07 |
| 1073548327 | Mary Katherine Cefalu | Registered Nurse | 17 S. River, Suite 254, Janesville, WI 53548 | 2006-07-12 |
| 1699707950 | Gary Lavern Jones | Counselor | 175 River, Suite 254, Janesville, WI 53548 | 2006-07-07 |
| 1295767424 | Michael Stuart Kaye | Clinical Neuropsychologist | 17 S River St Ste 254, Janesville, WI 53548 | 2006-07-07 |
| 1205864055 | Amy Laurie Roy | Counselor | 17 S River Suite 254, Janesville, WI 53548 | 2006-06-29 |
| 1518903566 | Leota I Larson | Psychologist | 17 S River, Suite 254, Janesville, WI 53548 | 2006-06-20 |
| 1760950414 | North Star Chiropractic LLC | Chiropractor | 21 S Jackson St, Ste 160, Janesville, WI 53548 | 2018-11-10 |
| Find all providers in zip 53548 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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 interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245720291 | John Leonard Staranko | Chiropractor | 21 S Jackson St Ste 160, Janesville, WI 53548-3859 | 2018-05-15 |
| 1164964318 | Noelle Kayla Margelowsky | Chiropractor | 21 S. Jackson St. #160, Janesville, WI 53548-5354 | 2016-11-04 |
| 1417402678 | Megan Scheurell | Chiropractor | 111 N Main St Ste 100, Janesville, WI 53545-3072 | 2016-08-17 |
| 1861834020 | Badgerland Chiropractic LLC | Chiropractor | 2025 Old Humes Rd, Janesville, WI 53545-0275 | 2013-07-29 |
| 1912244765 | Ryan Francis Dunphy | Chiropractor | 2025 Humes Road, Janesville, WI 53545-0275 | 2013-01-14 |
| 1861625832 | Nolte Chiropractic LLC | Chiropractor | 942 N Parker Dr, Janesville, WI 53545-0710 | 2009-08-25 |
| 1639344799 | Janesville Family Chiropractic Center Ltd | Chiropractor | 133 N Main, Janesville, MN 56048-0148 | 2008-04-29 |
| 1164608246 | Keehn Chiropractic Office, S.c. | Chiropractor | 1621 Plainfield Ave, Janesville, WI 53545-0282 | 2008-01-18 |
| 1679690473 | John C Stagg | Chiropractor | 2100 E Milwaukee St, Suite 18, Janesville, WI 53545-2182 | 2007-03-25 |
| 1568595841 | Christine Ann Wilke | Chiropractor | 221 S Franklin St, Janesville, WI 53548-4740 | 2007-03-14 |
| Find all providers in JANESVILLE | ||||
| City | JANESVILLE |
| Zip Code | 53548 |
Please comment or provide details below to improve the information on MR. BRANDON RAY CRANDALL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.