Provider Demographics
NPI:1851630149
Name:PINELLI, BROCK ALBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:BROCK
Middle Name:ALBERT
Last Name:PINELLI
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 1:1817 BAYONNE CT
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-2009
Mailing Address - Country:US
Mailing Address - Phone:443-243-2242
Mailing Address - Fax:
Practice Address - Street 1:1817 BAYONNE CT
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-2009
Practice Address - Country:US
Practice Address - Phone:443-243-2242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01410111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor