Provider Demographics
NPI:1841219029
Name:BRUNS, RICHARD M (DC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:M
Last Name:BRUNS
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 1:371 UNION ST
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-4504
Mailing Address - Country:US
Mailing Address - Phone:207-947-1199
Mailing Address - Fax:207-942-8729
Practice Address - Street 1:371 UNION ST
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-4504
Practice Address - Country:US
Practice Address - Phone:207-947-1199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR559111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor