# BRUNELLO CHIROPRACTIC CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912908815
- **Authorized official:** MR. CARL VICTOR BRUNELLO (CHIROPRACTOR OWNER)
- **Authorized official phone:** (330) 725-4500

## Contact information

- **Practice address:** 600 E SMITH RD, STE A, MEDINA, OH 44256-2666
- **Practice address phone:** (330) 725-4500
- **Practice address fax:** (330) 725-4504
- **Mailing address:** 600 E SMITH RD, STE A, MEDINA, OH 44256-2666
- **Mailing address phone:** (330) 725-4500
- **Mailing address fax:** (330) 725-4504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 899 | OH | Yes |

## Other

- **Enumeration date:** 08/02/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CM4600 | RAILROAD MEDICARE | OH |