BREANNA JUNE DOROTHY (NPI# 1215258850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215258850 |
| Entity Type | Individual |
| Full Name | BREANNA JUNE DOROTHY |
| Credential | D.C. |
| Practice Address |
6041 Main St Ste E North Branch MN 55056-6595 |
| Mailing Address |
5436 209th Ln Ne Wyoming MN 55092-9474 |
| Practice Telephone | 6516745040 |
| Practice Fax Number | 9209826461 |
| Mailing Telephone | 9202036562 |
| Mailing Fax Number | 9209826461 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2019-05-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 6042 | MN | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 4625-012 | WI | Chiropractic Providers |
| Street Address |
6041 MAIN ST STE E |
| City | NORTH BRANCH |
| State | MN |
| Zip Code | 55056-6595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194073346 | Northstone Family Chiropractic P.a. | Chiropractor | 6041 Main St Ste E, North Branch, MN 55056-6595 | 2012-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306217146 | Joy Solano | Counselor | 38873 14th Ave North, North Branch, MN 55056 | 2015-10-19 |
| 1285072637 | Teresa Ann Dewitt | Registered Nurse | 9208 St Croix Trail, North Branch, MN 55056 | 2013-06-07 |
| 1396074209 | Twin Cities Mobile Chiropractic, P.C. | Clinic/Center | 6754 380th Circle, North Branch, MN 55056 | 2009-12-24 |
| 1811157662 | Shopko Stores Operating Co LLC | Pharmacy | 5630 St Croix Trail, North Branch, MN 55056 | 2008-06-16 |
| 1023171196 | Shawn Timothy Mccullough | Dentist | 6041 Main Street, Suite C, North Branch, MN 55056 | 2006-12-19 |
| 1518050103 | Paula J Rehder | Family Medicine | 6413 Oak Street, North Branch, MN 55056 | 2006-10-02 |
| 1699711614 | Julie A Perreault | Chiropractor | 6361 Main St, No Branch, MN 55056 | 2006-06-20 |
| 1760950307 | Kara H Mireles | Marriage & Family Therapist | 5842 Old Main St, Ste 2,3,4, North Branch, MN 55056 | 2018-11-12 |
| 1134614506 | Jenna Marie Leirmoe | Counselor | 38878 12th Ave, North Branch, MN 55056 | 2018-06-27 |
| 1689835647 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 5630 St Croix Trail, North Branch, MN 55056 | 2008-06-23 |
| Find all providers in zip 55056 | ||||
| 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 |
|---|---|---|---|---|
| 1518251685 | Peter Wurdemann | Chiropractor | 6368 Elm Street, North Branch, MN 55056-5459 | 2011-06-06 |
| 1194057042 | Katie Lynn Birkenhauer | Chiropractor | 3915 Mill St, North Branch, MI 48461-8004 | 2010-02-03 |
| 1942324868 | Kevin Joseph Bovitz | Chiropractor | 6754 380th Cir, North Branch, MN 55056-5941 | 2007-03-17 |
| 1952489809 | Daniel George Anderson | Chiropractor | 38786 8th Ave, North Branch, MN 55056-6696 | 2006-11-01 |
| 1437248275 | Albert Patterson | Chiropractor | 3702 Huron St, Suite 1, North Branch, MI 48461-8142 | 2006-10-12 |
| 1922541044 | Perreault Chiropractic and Acupuncture Service Corporation | Chiropractor | 6361 Main St, North Branch, MN 55056-6693 | 2016-11-21 |
| 1265784763 | Ak Chiropractic LLC | Chiropractor | 5830 N Lapeer Rd, Bldg 1 Suite B, North Branch, MI 48461-9660 | 2012-10-08 |
| 1194073346 | Northstone Family Chiropractic P.a. | Chiropractor | 6041 Main St Ste E, North Branch, MN 55056-6595 | 2012-08-20 |
| 1285905760 | Kathryn Jo Devries | Chiropractor | 6041 Main St, Suite E, North Branch, MN 55056-6588 | 2012-01-16 |
| 1578850061 | Wurdemann Chiropractic P A | Chiropractor | 6368 Elm Street, North Branch, MN 55056-0094 | 2011-07-05 |
| Find all providers in NORTH BRANCH | ||||
| City | NORTH BRANCH |
| Zip Code | 55056 |
Please comment or provide details below to improve the information on BREANNA JUNE DOROTHY.
| 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.