Provider Demographics
NPI:1962593467
Name:DAHMER, BRIAN KURT (DC)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:KURT
Last Name:DAHMER
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 1:8403 BALM ST
Mailing Address - Street 2:
Mailing Address - City:WEEKI WACHEE
Mailing Address - State:FL
Mailing Address - Zip Code:34607-4419
Mailing Address - Country:US
Mailing Address - Phone:352-340-5936
Mailing Address - Fax:352-340-5937
Practice Address - Street 1:8403 BALM ST
Practice Address - Street 2:
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34607-4419
Practice Address - Country:US
Practice Address - Phone:352-340-5936
Practice Address - Fax:352-340-5937
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9001111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3820009-00Medicaid