Individual
DR. JOSHUA SETH BRUNAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1316 DADRIAN PROFESSIONAL PARK, GODFREY, IL 62035-1685
(618) 467-0300
(618) 467-4065
Mailing address
1000 BUSCH DR, JERSEYVILLE, IL 62052-1087
(618) 498-4567
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06032054
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
09/15/2006
Last updated
07/08/2007
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