Provider Demographics
NPI:1396084802
Name:BRINDISI, DANA (DC)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:BRINDISI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6404 FALLS OF NEUSE RD #201
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615
Mailing Address - Country:US
Mailing Address - Phone:919-703-0207
Mailing Address - Fax:919-703-0208
Practice Address - Street 1:8816 SIX FORKS RD STE 107
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-2983
Practice Address - Country:US
Practice Address - Phone:919-725-2202
Practice Address - Fax:919-825-1778
Is Sole Proprietor?:No
Enumeration Date:2013-02-04
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4629111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor