BRENT J DESHAW (NPI# 1922264464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922264464 |
| Entity Type | Individual |
| Full Name | BRENT J DESHAW |
| Credential | D.C. |
| Practice Address |
664 Scranton Rd Suite 222 Brunswick GA 31520-1945 |
| Practice Telephone | 9122642244 |
| Mailing Telephone | 9122642244 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2010-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR008476 | GA | Chiropractic Providers |
| Street Address |
664 SCRANTON RD SUITE 222 |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457305567 | In Home Health LLC | Hospice Care, Community Based | 664 Scranton Rd, Suite 103, Brunswick, GA 31520-1946 | 2006-05-22 |
| 1942665393 | Dr Jen Rocks, LLC | Chiropractor | 664 Scranton Rd, Suite 101, Brunswick, GA 31520-1945 | 2015-12-29 |
| 1265746051 | Deshaw Family Chiropractic LLC | Chiropractor | 664 Scranton Rd, Suite 222, Brunswick, GA 31520-1945 | 2010-08-04 |
| 1952623704 | Modern Medical Massage, LLC | Specialist | 664 Scranton Rd, Brunswick, GA 31520-1945 | 2010-02-22 |
| 1346571148 | Dr. Jen Rocks, LLC | Chiropractor | 664 Scranton Rd, Suite 101, Brunswick, GA 31520 | 2010-01-19 |
| 1275707804 | Anthony G. Jongejan | Massage Therapist | 664 Scranton Rd, Ste 101, Brunswick, GA 31520-1945 | 2008-04-15 |
| 1124206354 | Lonnie G. Katro D.c.,p.c. Dba Brunswick Chiropractic and Massage | Chiropractor | 664 Scranton Rd, Suite 101, Brunswick, GA 31520-1945 | 2008-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| 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 |
|---|---|---|---|---|
| 1316431513 | Johanna Cole | Chiropractor | 3365 Cypress Mill Rd Ste 12, Brunswick, GA 31520-2867 | 2018-06-20 |
| 1285054916 | Shane Dehaven | Chiropractor | 393 Eh Ct, Brunswick, GA 31520-2197 | 2014-04-21 |
| 1871937128 | Midcoast Chiropractic LLC | Chiropractor | 7 Gurnet Shr, Brunswick, ME 04011-3710 | 2013-04-17 |
| 1518232206 | Hal Scott Crowe Sr. | Chiropractor | 2321 Parkwood Dr, Brunswick, GA 31520-4720 | 2012-03-14 |
| 1134429913 | Family Chiropractic Care Inc. | Chiropractor | 3405 Cypress Mill Rd, Brunswick, GA 31520-2857 | 2010-10-27 |
| 1861706293 | Rebecca Dawn Lapham | Chiropractor | 3366 Cypress Mill Rd, Brunswick, GA 31520-2851 | 2010-07-27 |
| 1821239641 | Slocum Chiropractic Pa | Chiropractor | 26 Bath Rd Ste 1, Brunswick, ME 04011-2618 | 2009-03-09 |
| 1013195858 | Nicole S. Miklos, D.c., Inc. | Chiropractor | 50 Pearl Rd, Suite 120, Brunswick, OH 44212-5700 | 2008-02-04 |
| 1013101542 | Nicholas Adam Husser | Chiropractor | 4036 Center Rd, Suite A, Brunswick, OH 44212-5696 | 2007-08-28 |
| 1861685695 | Wilbur Brown | Chiropractor | 4501 New Jesup Hwy Ste A, Brunswick, GA 31520-1651 | 2007-08-24 |
| Find all providers in BRUNSWICK | ||||
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| 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.