Provider Demographics
NPI:1275910630
Name:BREWSMITH LLC
Entity type:Organization
Organization Name:BREWSMITH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DCCJP
Authorized Official - Phone:970-596-4920
Mailing Address - Street 1:8010 S COUNTY ROAD 5 UNIT 204
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80528-9004
Mailing Address - Country:US
Mailing Address - Phone:970-663-1617
Mailing Address - Fax:970-663-0060
Practice Address - Street 1:8010 S COUNTY ROAD 5 UNIT 204
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80528-9004
Practice Address - Country:US
Practice Address - Phone:970-663-1617
Practice Address - Fax:970-663-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-05
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty