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Loren S Brunner, DC
Chiropractor in North Tonawanda, New York
NPI 1710105036

Loren S Brunner is a Chiropractor based in North Tonawanda, NY. Loren S Brunner practices in North Tonawanda, NY and has the professional credentials of DC. The NPI Number for Loren S Brunner is 1710105036 and holds a License No. X009649 (New York).

The current practice location address for Loren S Brunner is 510 Oliver St, North Tonawanda, NY and can be reached out via phone at 716-693-5646 and via fax at 716-693-2667.

Location: 510 Oliver St, North Tonawanda, NY, 14120-4300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710105036
Provider Name
Loren S Brunner
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
510 Oliver St, North Tonawanda, NY, 14120-4300
Phone Number
716-693-5646
Fax Number
716-693-2667
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1710105036 01 NY CAQH
J100057652 01 NY TWIN CITY CHIROPRACTIC
X009649-1 01 NY LICENSE
16-1587411 01 NY TAX ID
111N00000X 01 NY TAXONOMY
C09649-7 01 NY WORKMAN'S COMPENSATION
institution
Provider Business Practice Location Address Details
Address
510 Oliver St
City
North Tonawanda
State
New York
Zip
14120-4300
Phone Number
716-693-5646
Fax Number
716-693-2667
person
Provider Business Mailing Address Details
Address
510 Oliver St
City
North Tonawanda
State
New York
Zip
14120-4300
Phone Number
716-693-5646
Fax Number
716-693-2667
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
X009649 (New York)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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