Basic Information
| Provider Information | |||||||||
| NPI: | 1407072978 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CORBETT | ||||||||
| FirstName: | BRET | ||||||||
| MiddleName: | DAVID | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 21530 | ||||||||
| Address2: | |||||||||
| City: | CARSON CITY | ||||||||
| State: | NV | ||||||||
| PostalCode: | 897211530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7758844994 | ||||||||
| FaxNumber: | 7758844996 | ||||||||
| Practice Location | |||||||||
| Address1: | 1929 CALIFORNIA ST | ||||||||
| Address2: | |||||||||
| City: | CARSON CITY | ||||||||
| State: | NV | ||||||||
| PostalCode: | 897015327 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7758844994 | ||||||||
| FaxNumber: | 7758844996 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2007 | ||||||||
| LastUpdateDate: | 01/30/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | B00962 | NV | Y | Chiropractic Providers | Chiropractor |
No ID Information.