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DR. DANIEL EDWARD BRUNKHORST D.C. NPI 1619909546


NPI Information

NPI: 1619909546
Provider Name: DR. DANIEL EDWARD BRUNKHORST, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
742 N MARKET ST
SUITE D
WATERLOO, IL
ZIP 62298
Phone: (618) 939-9850
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DR. Daniel Edward Brunkhorst, D.C. is a chiropractor in Waterloo, IL. The provider is 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. DR. Daniel Edward Brunkhorst, D.C. NPI is 1619909546. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

742 N MARKET ST
SUITE D
WATERLOO, IL
ZIP 62298-079
Phone: (618) 939-9850
Fax: (618) 939-9860

The enumeration date for this NPI number is 7/7/2006 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor038010170ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1209846MEDICARE ID-TYPE UNSPECIFIEDILLINOISCHIROPRACTOR
2V01395MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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