Provider Demographics
NPI:1760694780
Name:BRUHN, CECILE A (DC)
Entity Type:Individual
Prefix:DR
First Name:CECILE
Middle Name:A
Last Name:BRUHN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 N PENRYN RD
Mailing Address - Street 2:
Mailing Address - City:MANHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:17545-9326
Mailing Address - Country:US
Mailing Address - Phone:717-665-2550
Mailing Address - Fax:
Practice Address - Street 1:16 N PENRYN RD
Practice Address - Street 2:
Practice Address - City:MANHEIM
Practice Address - State:PA
Practice Address - Zip Code:17545-9326
Practice Address - Country:US
Practice Address - Phone:717-665-2550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006527L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2722328000OtherIBC PROVIDER ID