Organization
BRUNELLO CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL VICTOR BRUNELLO (CHIROPRACTOR OWNER)
(330) 725-4500
Entity
Organization
Contact information
Practice address
600 E SMITH RD, STE A, MEDINA, OH 44256-2666
(330) 725-4500
(330) 725-4504
Mailing address
600 E SMITH RD, STE A, MEDINA, OH 44256-2666
(330) 725-4500
(330) 725-4504
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
899
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM4600
RAILROAD MEDICARE
OH
Enumeration date
08/02/2005
Last updated
08/22/2020
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