Provider Demographics
NPI:1386869659
Name:BRUNETTO, CATHERINE L (DC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:L
Last Name:BRUNETTO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 E ABRIENDO AVE STE F
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81004-2388
Mailing Address - Country:US
Mailing Address - Phone:719-544-5552
Mailing Address - Fax:
Practice Address - Street 1:540 E ABRIENDO AVE STE F
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81004-2388
Practice Address - Country:US
Practice Address - Phone:719-544-5552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2865111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC 21123Medicare PIN