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Organization
BRUNELLE FAMILY CHIROPRACTIC
Active
Organization
BRUNELLE FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA LEE MEDEIROS (BILLING MANAGER)
(401) 295-2527
Entity
Organization
Contact information
Practice address
250 W MAIN ST, NORTH KINGSTOWN, RI 02852-5116
(401) 295-2527
(401) 294-7870
Mailing address
250 W MAIN ST, NORTH KINGSTOWN, RI 02852-5116
(401) 295-2527
(401) 294-7870
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
00309
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204087
BLUE CHIP
RI
01
—
3519-6
BLUECROSS & BLUESHIELD OF RI
RI
Enumeration date
07/15/2008
Last updated
07/15/2008
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