Provider Demographics
NPI:1508222902
Name:CARLINI, BRENTON (DC)
Entity Type:Individual
Prefix:DR
First Name:BRENTON
Middle Name:
Last Name:CARLINI
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 1:521 CHURCHILL CT
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-4207
Mailing Address - Country:US
Mailing Address - Phone:412-215-8908
Mailing Address - Fax:
Practice Address - Street 1:928 BRODHEAD RD STE B
Practice Address - Street 2:
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-2375
Practice Address - Country:US
Practice Address - Phone:412-215-8908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011110111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor