Provider Demographics
NPI:1235461062
Name:CZEKAJ, BRANDON ANTHONY (DC)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:ANTHONY
Last Name:CZEKAJ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5675 STONE RD STE 220
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-1667
Mailing Address - Country:US
Mailing Address - Phone:703-815-0700
Mailing Address - Fax:703-815-0700
Practice Address - Street 1:5675 STONE RD STE 220
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20120-1667
Practice Address - Country:US
Practice Address - Phone:703-815-0700
Practice Address - Fax:703-815-0701
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03639111N00000X
VA0104556840111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor