Brunello, Carl Victor
Brunello, Carl Victor is an individual health care provider with primary practice located at 600 E Smith Rd Ste A, Medina OH 44256-2666. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Brunello, Carl Victor can be contacted via phone (330) 725-4500.Contact Information
Primary practice address
600 E Smith Rd Ste A
Medina OH 44256-2666
Phone: (330) 725-4500
Fax: (330) 725-4504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 899 | Ohio |
| Chiropractic Providers / Chiropractor | 111N00000X | 1812 | Georgia |
Profile Details
| NPI number | 1760483259 |
|---|---|
| LBN Legal business name | Brunello, Carl Victor |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760483259 | NPPES |
| Ohio | Other | 000000131840 | ANTHEM |
| Ohio | MEDICAID | 478666 | ANTHEM |
| Ohio | Other | 341436169001 | ANTHEM |
| Ohio | Other | 81439 | ANTHEM |
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