Jon Neil Brodbeck in Wading River - Chiropractor

Jon Neil Brodbeck - NPI 1477612547

Jon Neil Brodbeck is a Chiropractor in Wading River, New York. Jon Neil Brodbeck practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jon Neil Brodbeck is 1477612547. The last update date is 2023-06-01.

Jon Neil Brodbeck's current location address is 5976 Route 25a, Wading River, New York. You can contact this provider via phone number 6313453035 and fax number 6313453244. The mailing address for Jon Neil Brodbeck is 5976 Route 25a, Wading River, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jon Neil Brodbeck
Address 5976 Route 25a, Wading River, New York
Phone Number 6313453035
Fax Number 6313453244
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1477612547
Provider Enumeration Date 2006-12-06
Last Updated Date 2023-06-01

Provider Mailing Address Detail

Address 5976 Route 25a
City Wading River
State New York (NY)
Post Code 117922001
Phone Number 6313453035
Fax Number 6313453244

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No X4005-1
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
X7L48 NY EMPIRE BLUE CROSS BLUE SH
3013830 NY AETNAUNITED HEALTH CARE
61297 NM ACN INSURANCE PLANS

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FAQs about Jon Neil Brodbeck

What is the unique 10-digit identifier code assigned to Jon Neil Brodbeck by the Centers for Medicare & Medicaid Services?

The Jon Neil Brodbeck has been issued the NPI (National Provider Identifier) 1477612547 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Jon Neil Brodbeck is geographically located?

The Jon Neil Brodbeck is physically situated at the following location: 5976 Route 25A, Wading River, NY, 117922001.

What is the area of specialization for Jon Neil Brodbeck, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jon Neil Brodbeck is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.

When did Jon Neil Brodbeck receive its 1477612547 assignment?

The Jon Neil Brodbeck was assigned its 1477612547 on 2006-12-06, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Jon Neil Brodbeck last refreshed?

The information related to the Jon Neil Brodbeck, including its address, specialty, and other relevant details, was last updated on 2023-06-01.

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