Ivan Jay Brodwyn in Columbus - Chiropractor
Ivan Jay Brodwyn - NPI 1538193503
Ivan Jay Brodwyn is a Chiropractor in Columbus, Georgia. Ivan Jay Brodwyn practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Ivan Jay Brodwyn is 1538193503. The last update date is 2014-01-15.
Ivan Jay Brodwyn's current location address is 3624 Edgewood Rd, Columbus, Georgia. You can contact this provider via phone number 7065633370 and fax number 7065633501. The mailing address for Ivan Jay Brodwyn is 3624 Edgewood Rd, Columbus, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivan Jay Brodwyn |
|---|---|
| Address | 3624 Edgewood Rd, Columbus, Georgia |
| Phone Number | 7065633370 |
| Fax Number | 7065633501 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1538193503 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2014-01-15 |
Provider Mailing Address Detail
| Address | 3624 Edgewood Rd |
|---|---|
| City | Columbus |
| State | Georgia (GA) |
| Post Code | 319072184 |
| Phone Number | 7065633370 |
| Fax Number | 7065633501 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC1811 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7365 | GA | GRP NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Ivan Jay Brodwyn by the Centers for Medicare & Medicaid Services (CMS)?
The Ivan Jay Brodwyn has been assigned the NPI (National Provider Identifier) 1538193503. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Ivan Jay Brodwyn?
The Ivan Jay Brodwyn is situated at 3624 Edgewood Rd, in the city of Columbus, state of GA, with the zip code 319072184.
What is Ivan Jay Brodwyn's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ivan Jay Brodwyn is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1538193503 to Ivan Jay Brodwyn?
The Ivan Jay Brodwyn received its 1538193503 assignment from the Centers for Medicare & Medicaid Services on 2006-07-10.
As of what date was the information pertaining to Ivan Jay Brodwyn, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ivan Jay Brodwyn, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-01-15.