Provider Demographics
NPI:1407072978
Name:CORBETT, BRET DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:BRET
Middle Name:DAVID
Last Name:CORBETT
Suffix:
Gender:M
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:PO BOX 21530
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89721-1530
Mailing Address - Country:US
Mailing Address - Phone:775-884-4994
Mailing Address - Fax:775-884-4996
Practice Address - Street 1:1929 CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701-5327
Practice Address - Country:US
Practice Address - Phone:775-884-4994
Practice Address - Fax:775-884-4996
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00962111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor