Brunner, Bradley

Brunner, Bradley is an sole proprietor health care provider with primary practice located at 214 Rousch St , Lena IL 61048-8822. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Brunner, Bradley can be contacted via phone (843) 609-5944.

Contact Information

Primary practice address
214 Rousch St Lena IL 61048-8822
Phone: (843) 609-5944
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 093348 Iowa
Chiropractic Providers / Sports Physician 111NS0005X 5079-12 Wisconsin
Chiropractic Providers / Sports Physician 111NS0005X 038013262 Illinois

Profile Details

NPI number 1144684564
LBN Legal business name Brunner, Bradley
Credentials DC, CCSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2016
Last updated Dec 3rd, 2018 - about 6 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.

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