Provider Demographics
NPI:1679006225
Name:BRENTON CARLINI
Entity Type:Organization
Organization Name:BRENTON CARLINI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENTON
Authorized Official - Middle Name:O
Authorized Official - Last Name:CARLINI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-215-8908
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:412-774-2464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-10
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011110111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty