National Provider Identifier
Loren S Brunner, DC
Loren S Brunner, DC is listed in the NPPES registry with a primary specialty of Chiropractor in North Tonawanda, NY and a listed phone number of (716) 693-5646.
Profile Overview
- NPI
- 1710105036
- Provider Type
- Individual
- Primary Specialty
- Chiropractor
- Enumeration Date
- April 23, 2007
- Last Updated
- December 06, 2014
Practice Location
- 510 Oliver St
- North Tonawanda, NY 14120-4300
Phone: (716) 693-5646
Specialties
- Chiropractor (111N00000X)
Full Record
- NPI
- 1710105036
- Entity Type
- Individual
- Last Name
- Brunner
- First Name
- Loren
- Middle Name
- S
- Credential
- DC
- Mailing Street Address
- 510 Oliver St
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-4300
- Mailing Country
- US
- Mailing Phone
- (716) 693-5646
- Mailing Fax
- (716) 693-2667
- Practice Street Address
- 510 Oliver St
- Practice City
- North Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-4300
- Practice Country
- US
- Practice Phone
- (716) 693-5646
- Practice Fax
- (716) 693-2667
- Enumeration Date
- April 23, 2007
- Last Updated
- December 06, 2014
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Chiropractor (111N00000X)
- Other Identifiers
- 1710105036 (NY, Caqh), J100057652 (NY, Twin City Chiropractic), X009649-1 (NY, License), 16-1587411 (NY, Tax Id), 111N00000X (NY, Taxonomy), C09649-7 (NY, Workman'S Compensation)