Provider Demographics
NPI:1427219385
Name:BRUNTON, CHASE DOUGLAS, WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:CHASE
Middle Name:DOUGLAS, WILLIAM
Last Name:BRUNTON
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 1:70 EIGHTH STREET WEST CHASE BRUNTON
Mailing Address - Street 2:
Mailing Address - City:SIMCOE
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:N3Y4K5
Mailing Address - Country:CA
Mailing Address - Phone:519-428-4277
Mailing Address - Fax:
Practice Address - Street 1:70 EIGHTH STREET WEST CHASE BRUNTON
Practice Address - Street 2:
Practice Address - City:SIMCOE
Practice Address - State:ONTARIO
Practice Address - Zip Code:N3Y4K5
Practice Address - Country:CA
Practice Address - Phone:519-428-4277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program