Brunner, Loren S

Brunner, Loren S is an sole proprietor health care provider with primary practice located at 510 Oliver St , North Tonawanda NY 14120-4300. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Brunner, Loren S can be contacted via phone (716) 693-5646.

Contact Information

Primary practice address
510 Oliver St North Tonawanda NY 14120-4300
Phone: (716) 693-5646
Fax: (716) 693-2667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X009649 New York

Profile Details

NPI number 1710105036
LBN Legal business name Brunner, Loren S
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Dec 6th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710105036 NPPES
New York Other 1710105036 CAQH
New York Other J100057652 CAQH
New York Other X009649-1 CAQH
New York Other 16-1587411 CAQH
New York Other 111N00000X CAQH
New York Other C09649-7 CAQH

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