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:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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