Provider Demographics
NPI:1205035987
Name:BRUNHUBER, MALINDA K
Entity Type:Individual
Prefix:
First Name:MALINDA
Middle Name:K
Last Name:BRUNHUBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MALINDA
Other - Middle Name:KAY
Other - Last Name:BRUNHUBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:8703 YATES DR STE 210
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-3681
Mailing Address - Country:US
Mailing Address - Phone:303-809-1262
Mailing Address - Fax:
Practice Address - Street 1:8703 YATES DR STE 210
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-3681
Practice Address - Country:US
Practice Address - Phone:303-809-1262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011433-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor