Provider Demographics
NPI:1265594410
Name:BRUNO, ALBERT ROBERT (DC)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:ROBERT
Last Name:BRUNO
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 1:109 WILLIAM CIR
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-2076
Mailing Address - Country:US
Mailing Address - Phone:412-587-1355
Mailing Address - Fax:888-606-3267
Practice Address - Street 1:601 N FRONT ST
Practice Address - Street 2:
Practice Address - City:PHILIPSBURG
Practice Address - State:PA
Practice Address - Zip Code:16866-2303
Practice Address - Country:US
Practice Address - Phone:814-342-2333
Practice Address - Fax:814-342-2277
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009150111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADC009150OtherPA LICENSE
PADC009150OtherPA LICENSE