Robert James Broody in Glenmoore - Chiropractor

Robert James Broody - NPI 1508874215

Robert James Broody is a Chiropractor in Glenmoore, Pennsylvania. Robert James Broody practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Robert James Broody is 1508874215. The last update date is 2007-07-08.

Robert James Broody's current location address is 1728 Horse Shoe Pike, Glenmoore, Pennsylvania. You can contact this provider via phone number 6109421940 and fax number 6109421942. The mailing address for Robert James Broody is 1728 Horse Shoe Pike, Glenmoore, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert James Broody
Address 1728 Horse Shoe Pike, Glenmoore, Pennsylvania
Phone Number 6109421940
Fax Number 6109421942
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1508874215
Provider Enumeration Date 2006-08-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1728 Horse Shoe Pike
City Glenmoore
State Pennsylvania (PA)
Post Code 193431036
Phone Number 6109421940
Fax Number 6109421942

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No DC005412L
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
698462000 PA INDEPENDANCE BLUE CROSS/S
2005606000 PA INDEPENDANCE BLUE C/S

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FAQs about Robert James Broody

What is the Robert James Broody's 1508874215?

The Robert James Broody's NPI (National Provider Identifier) Number is 1508874215. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Robert James Broody is physically located?

The Robert James Broody is physically situated at the following address: 1728 Horse Shoe Pike, Glenmoore, PA, 193431036.

What is Robert James Broody's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Robert James Broody is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.

When was the Robert James Broody's 1508874215 issued?

The Robert James Broody's 1508874215 was issued on 2006-08-04.

As of what date were the details related to Robert James Broody most recently updated or revised?

The information pertaining to Robert James Broody, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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