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Individual
DR. DANIEL BRAINUM
Active
Individual
DR. DANIEL BRAINUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01757
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073721000
AMERIHEALTH
NJ
01
—
009249
GHI
NY
01
—
0217272
CIGNA
NJ
05
—
0284009
—
NJ
01
—
112143
AETNA
NJ
01
—
11796
OPERATING ENG. LOCAL #825
NJ
Enumeration date
12/06/2006
Last updated
07/08/2007
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